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Organization
KARON R LOCICERO MD PA
Active
Organization
KARON R LOCICERO MD PA
Active
Other names
LOCICERO MEDICAL GROUP, LoCicero Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GALANTINO (ADMINSTRATOR)
(813) 876-7073
Entity
Organization
Contact information
Practice address
2605 W SWANN AVE, STE 600, TAMPA, FL 33609-4039
(813) 876-7073
(813) 877-1277
Mailing address
2605 W SWANN AVE, STE 600, TAMPA, FL 33609-4039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
FL
163WD0400X
Diabetes Educator Registered Nurse
ND613
FL
207K00000X
Allergy & Immunology Physician
—
—
207QA0505X
Adult Medicine Physician
ME48993
FL
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RR0500X
Rheumatology Physician
ME73426
FL
207V00000X
Obstetrics & Gynecology Physician
—
—
213E00000X
Podiatrist
P02239
FL
231H00000X
Audiologist
—
FL
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048214500
—
FL
01
—
1023631
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/15/2006
Last updated
08/18/2026
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