MEDICARE: MR. JOSEPH NICHOLAS URICCHIO DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PO0001641	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PO00000983	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104882489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH NICHOLAS URICCHIO DPM

Provider Business Mailing Address
First Line	:	5602 PGA BLVD
Second Line	:	SUITE 101
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3829
Country	:	US
Telephone Number	:	561-627-6444
Fax Number	:	561-627-3572

Provider Business Practice Location Address
First Line	:	5602 PGA BLVD
Second Line	:	SUITE 101
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3829
Country	:	US
Telephone Number	:	561-627-6444
Fax Number	:	561-627-3572

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	10/25/2012

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Directions to “ MR. JOSEPH NICHOLAS URICCHIO DPM” Practice Location

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