Organization
KAREN LOCIERO MD
Active
Other names
LOCICERO MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GALANTINO (ADMINSTRATOR)
(813) 876-7073
Entity
Organization
Contact information
Practice address
2605 W SWANN AVE, TAMPA, FL 33609-4039
(813) 876-7073
(813) 877-1277
Mailing address
2605 W SWANN AVE, TAMPA, FL 33609-4039
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME47336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023631
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/13/2006
Last updated
08/22/2020
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