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NPI Code Detail

MEDICARE: CARMEN R DAMIANI DO PA

MEDICARE: CARMEN R DAMIANI DO 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
1207V00000XObstetrics & Gynecology PhysicianOS4399FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689613010
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN R DAMIANI DO PA
Provider Business Mailing Address
First Line : 10011 SEMINOLE BLVD
Second Line : SUITE A
City : SEMINOLE
State : FL
Zip : 33772-2539
Country : US
Telephone Number : 727-397-8888
Fax Number : 727-399-9828
Provider Business Practice Location Address
First Line : 10011 SEMINOLE BLVD.
Second Line : SUITE A
City : SEMINOLE
State : FL
Zip : 33772-2539
Country : US
Telephone Number : 727-397-8888
Fax Number : 727-399-9828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 10/06/2008

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Directions to “ CARMEN R DAMIANI DO PA” Practice Location

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