Individual
LORETTA BACCHIOCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1115 E. RIDGEWOOD STREET, ORLANDO, FL 32803
(407) 841-1100
(407) 841-0774
Mailing address
326 N MILLS AVE, ORLANDO, FL 32803-5734
(407) 841-1100
(407) 649-8677
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9174215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017737900
—
FL
Enumeration date
04/11/2011
Last updated
08/24/2016
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