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NPI Code Detail

MEDICARE: ANNICOL MARROCCO MD

MEDICARE: ANNICOL MARROCCO 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
1207P00000XEmergency Medicine PhysicianME0091152FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
152203OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699747642
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNICOL MARROCCO MD
Provider Business Mailing Address
First Line : 285 GRANDE WAY APT 503
Second Line :
City : NAPLES
State : FL
Zip : 34110-6487
Country : US
Telephone Number : 239-596-2481
Fax Number :
Provider Business Practice Location Address
First Line : 13681 DOCTORS WAY
Second Line :
City : FT MYERS
State : FL
Zip : 33912-4300
Country : US
Telephone Number : 239-768-8611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 05/07/2008

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Directions to “ ANNICOL MARROCCO MD” Practice Location

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