IDICULA MEDICAL ASSOCIATES MD PA NPI 1982781688

NPI Information

IDICULA MEDICAL ASSOCIATES MD PA is a specialist in Brooksville, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. IDICULA MEDICAL ASSOCIATES MD PA NPI is 1982781688. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10065 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613
Phone: (352) 596-4660
Fax: (352) 596-4674

The provider's authorized official is Joseph Idicula .
The authorized official title is President and has the following contact phone number (352) 596-4660.

The CLIA number assigned to this NPI record is 10D0897499 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/26/2009.

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:

Other Identifiers

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

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