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NPI Code Detail

MEDICARE: MR. PHILIP J CIUFO JR. PA-C

MEDICARE: MR. PHILIP J CIUFO JR. PA-C
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
1363AM0700XMedical Physician AssistantPA1966FL

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 : 1821074626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PHILIP J CIUFO JR. PA-C
Provider Business Mailing Address
First Line : PO BOX 616788
Second Line :
City : ORLANDO
State : FL
Zip : 32861-6788
Country : US
Telephone Number : 407-447-7105
Fax Number : 407-770-0594
Provider Business Practice Location Address
First Line : 1049 W ORANGE BLOSSOM TRL
Second Line :
City : APOPKA
State : FL
Zip : 32712-3482
Country : US
Telephone Number : 407-884-2952
Fax Number : 407-884-9352
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 08/14/2013

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