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Individual

JOSEPH MAGIONCALDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8000 STATE ROAD 64 E, BRADENTON, FL 34212-7703
(941) 792-1404
(941) 761-0712
Mailing address
8000 STATE ROAD 64 E, BRADENTON, FL 34212-7703
(941) 792-1404
(941) 761-0712

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9120027
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G6X1F
BCBS
FL
Enumeration date
08/06/2014
Last updated
09/08/2025
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