| Joseph Ciccarello Dc Pa | |
|
1011 S Us Highway 301, Tampa, FL 33619-4903 | |
| (813) 621-3180 | |
| (813) 626-2225 |
| Full Name | Joseph Ciccarello Dc Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1011 S Us Highway 301, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255603080 | NPI | - | NPPES |
| 050781400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH2023 (Florida) | Primary |
| Provider Name | Joseph Ciccarello |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477521631 PECOS PAC ID: 8123286572 Enrollment ID: I20120215000179 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Ciccarello Dc Pa 1011 S Us Highway 301, Tampa, FL 33619-4903 Ph: (813) 621-3180 | Joseph Ciccarello Dc Pa 1011 S Us Highway 301, Tampa, FL 33619-4903 Ph: (813) 621-3180 |
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