Picchiello, Anthony Carmine

Picchiello, Anthony Carmine is an individual health care provider with primary practice located at 3951 South Nova Rd , Port Orange FL 32127. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Picchiello, Anthony Carmine can be contacted via phone (386) 763-4484.

Contact Information

Primary practice address

3951 South Nova Rd Port Orange FL 32127

Phone: (386) 763-4484

Fax: (386) 763-1288

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Other Service Providers / Specialist	174400000X	ME0067232	Florida

Profile Details

NPI number	1891776399
LBN Legal business name	Picchiello, Anthony Carmine
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Nov 10th, 2005
Last updated	Oct 5th, 2007 - about 19 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1891776399	NPPES
Florida	Other	26244	BC/BS
Florida	Other	277195	BC/BS

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