Individual
MR. ANDREW J LOCCISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CONSULTANT R.PH.
Contact information
Practice address
1727 NE 39TH ST, OCALA, FL 34479-8640
(352) 362-2000
(352) 622-1936
Mailing address
1727 NE 39TH ST, OCALA, FL 34479-8640
(352) 362-2000
(352) 622-1936
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PU4429
FL
1835G0303X
Geriatric Pharmacist
Primary
PU4429
FL
Other
Enumeration date
01/08/2008
Last updated
08/01/2013
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