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NPI Code Detail

MEDICARE: ANTHONY SARACINO MD

MEDICARE: ANTHONY SARACINO MD
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
1208800000XUrology PhysicianME64018FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1340015174OTHERRAIL ROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1245295997
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY SARACINO MD
Provider Business Mailing Address
First Line : 2428 CLEARLAKE RD BLDG K
Second Line :
City : COCOA
State : FL
Zip : 32922-5722
Country : US
Telephone Number : 321-368-3862
Fax Number : 321-368-3862
Provider Business Practice Location Address
First Line : 2428 CLEARLAKE RD BLDG K
Second Line :
City : COCOA
State : FL
Zip : 32922-5722
Country : US
Telephone Number : 321-368-3862
Fax Number : 321-368-3862
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 04/18/2024

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