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NPI Code Detail

MEDICARE: MISS ANNA RITA TALERICO P.A.

MEDICARE: MISS ANNA RITA TALERICO P.A.
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
1363A00000XPhysician AssistantPA9101334FL

General Provider Information

NPI Number : 1831190743
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANNA RITA TALERICO P.A.
Provider Business Mailing Address
First Line : 2900 NE 30TH ST
Second Line : FT LAUDERDALE,
City : FT LAUDERDALE
State : FL
Zip : 33306-1927
Country : US
Telephone Number : 954-816-5764
Fax Number :
Provider Business Practice Location Address
First Line : 20900 BISCAYNE BLVD
Second Line :
City : AVENTURA
State : FL
Zip : 33180-1407
Country : US
Telephone Number : 305-682-7292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 01/07/2011

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Directions to “ MISS ANNA RITA TALERICO P.A.” Practice Location

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