Individual provider · Type 1 NPI
Anthony Carmine Picchiello, MD
Specialist · Port Orange, FL
NPI number
1891776399
Active
Practice location
3951 South Nova Rd
Port Orange, FL 32127
Fax (386) 763-1288
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | ME0067232 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1891776399
Anthony Carmine Picchiello, MD's National Provider Identifier is 1891776399, issued on Nov 10, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Orange, FL. The record was last updated on Oct 5, 2007.