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NPI Code Detail

MEDICARE: JOSEPH M DEFELICE MD PA

MEDICARE: JOSEPH M DEFELICE MD PA
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
1207RH0003XHematology & Oncology PhysicianME0055250FL

General Provider Information

NPI Number : 1679692040
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPH M DEFELICE MD PA
Provider Business Mailing Address
First Line : 303 PINELLAS ST
Second Line : SUITE 320
City : CLEARWATER
State : FL
Zip : 33756-3809
Country : US
Telephone Number : 727-446-3302
Fax Number : 727-442-9706
Provider Business Practice Location Address
First Line : 303 PINELLAS ST
Second Line : SUITE 320
City : CLEARWATER
State : FL
Zip : 33756-3809
Country : US
Telephone Number : 727-446-3302
Fax Number : 727-442-9706
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOSEPH M DEFELICE
Credential : M.D.
Telephone Number : 727-446-3302
Provider Enumeration Date : 03/28/2007
Last Update Date : 08/22/2020

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