Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PETER J. PITOCCHI MD PA
Active
Organization
PETER J. PITOCCHI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JOHN PITOCCHI MD (PRESIDENT)
(904) 264-2402
Entity
Organization
Contact information
Practice address
1555 KINGSLEY AVE, STE 501, ORANGE PARK, FL 32073-4560
(904) 264-2402
(904) 264-0933
Mailing address
1555 KINGSLEY AVE, STE 501, ORANGE PARK, FL 32073-4560
(904) 264-2402
(904) 264-0933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0062014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110168454
RR MCARE
FL
05
—
3701689000
—
FL
Enumeration date
09/13/2012
Last updated
10/18/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up