MR. ERIC STEPHEN PIAZZA PA NPI 1508036419

NPI Information

NPI: 1508036419
Provider Name: MR. ERIC STEPHEN PIAZZA, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
311 N CLYDE MORRIS BLVD
SUITE 580
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 425-5055
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MR. Eric Stephen Piazza, PA is a medical physician assistant in Daytona Beach, FL. MR. Eric Stephen Piazza, PA NPI is 1508036419. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

311 N CLYDE MORRIS BLVD
SUITE 580
DAYTONA BEACH, FL
ZIP 32114-781
Phone: (386) 425-5055
Fax: (386) 257-5058

The NPI 1508036419 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 11/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA9102326	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	292012300	MEDICAID	FLORIDA
2	Q32046	MEDICARE UPIN	FLORIDA
3	U4040Y	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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