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NPI Code Detail

MEDICARE: MR. PHILIP JOSEPH DELLA JACOVA MSW, CAP

MEDICARE:  MR. PHILIP JOSEPH DELLA JACOVA  MSW, CAP
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1427009851
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PHILIP JOSEPH DELLA JACOVA MSW, CAP
Provider Business Mailing Address
First Line : 7305 NORTH MILITARY TRAIL
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33410-6400
Country : US
Telephone Number : 561-422-8262
Fax Number : 561-422-6699
Provider Business Practice Location Address
First Line : 7305 NORTH MILITARY TRAIL
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33410-6400
Country : US
Telephone Number : 561-422-8262
Fax Number : 561-422-6699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 07/08/2007

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Directions to “ MR. PHILIP JOSEPH DELLA JACOVA MSW, CAP” Practice Location

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