Picerno, Richard A

Picerno, Richard A is an individual health care provider with primary practice located at 14534 Old Saint Augustine Rd Ste 3220 , Jacksonville FL 32258-2645. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Picerno, Richard A can be contacted via phone (904) 880-1260.

Contact Information

Primary practice address
14534 Old Saint Augustine Rd Ste 3220 Jacksonville FL 32258-2645
Phone: (904) 880-1260
Fax: (904) 880-1210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X ME93510 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME93510 Florida

Profile Details

NPI number 1649271917
LBN Legal business name Picerno, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Nov 17th, 2020 - about 6 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

StateTypeNumberIssuer
All States NPI 1649271917 NPPES
Florida MEDICAID 273545800
Florida Other P00251780

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