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Individual

DR. RICHARD D. PELLEGRINO

Active
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Individual

DR. RICHARD D. PELLEGRINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9109
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1079464
ASHN
FL
01
—
717538
UHC
FL
01
—
76062
BC/BS
FL
01
—
9730738
AETNA
FL
Enumeration date
09/13/2006
Last updated
07/05/2017
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