MEDICARE: DR. ANTHONY P. CUCCHI D.O.

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	207XS0117X	Orthopaedic Surgery of the Spine Physician	OS16887	FL
2	207X00000X	Orthopaedic Surgery Physician	5101015258	MI

Other Identifiers

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

General Provider Information

NPI Number	:	1992839963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY P. CUCCHI D.O.

Provider Business Mailing Address
First Line	:	4211 W BOY SCOUT BLVD STE 400
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-5766
Country	:	US
Telephone Number	:	813-443-2108
Fax Number	:

Provider Business Practice Location Address
First Line	:	3902 MILLENIA BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-6407
Country	:	US
Telephone Number	:	407-449-8620
Fax Number	:	407-205-1686

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	05/25/2022

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