# DR. JOSPEH ANTHONY PUCCIO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053353037
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | ME111277 | FL | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 03/26/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004251600 | — | FL |
| 01 | — | 14HQ1 | BLUE CROSS BLUE SHIELD | FL |