| Peter J. Pitocchi Md Pa | |
|
1555 Kingsley Ave Ste 501 Orange Park FL 32073-4560 | |
| (904) 264-2402 | |
| (904) 264-0933 |
| Full Name | Peter J. Pitocchi Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1555 Kingsley Ave, Orange Park, Florida |
| Authorized Official Name and Position | Peter John Pitocchi (PRESIDENT) |
| Authorized Official Contact | 9042642402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter J. Pitocchi Md Pa 1555 Kingsley Ave Ste 501 Orange Park FL 32073-4560 Ph: (904) 264-2402 | Peter J. Pitocchi Md Pa 1555 Kingsley Ave Ste 501 Orange Park FL 32073-4560 Ph: (904) 264-2402 |
| NPI Number | 1477803849 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 10/18/2012 |
| Medicare PECOS PAC ID | 3072762392 |
|---|---|
| Medicare Enrollment ID | O20121002000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477803849 | NPI | - | NPPES |
| 3701689000 | Medicaid | FL | |
| 110168454 | Other | FL | RR MCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0062014 (Florida) | Primary |
| Provider Name | Peter J Pitocchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750397519 PECOS PAC ID: 5597749259 Enrollment ID: I20040617001751 |
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