MEDICARE: MR. JOSEPH MILAN LOCASCIO M.S., CF-SLP

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
1	235Z00000X	Speech-Language Pathologist	SZ11554	FL

General Provider Information

NPI Number	:	1952187031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH MILAN LOCASCIO M.S., CF-SLP

Provider Business Mailing Address
First Line	:	3313 W SAN PEDRO ST APT 4
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-8036
Country	:	US
Telephone Number	:	813-505-1385
Fax Number	:

Provider Business Practice Location Address
First Line	:	3313 W SAN PEDRO ST APT 4
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-8036
Country	:	US
Telephone Number	:	813-505-1385
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2023
Last Update Date	:	04/03/2024

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