Organization
TERESA LICCARDI, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA MARIE LICCARDI MD (SOLE PROPRIETOR/ ADMINISTRATOR)
(908) 461-8050
Entity
Organization
Contact information
Practice address
1153 10TH AVE N, NAPLES, FL 34102-5425
(980) 461-8050
Mailing address
1153 10TH AVE N, NAPLES, FL 34102-5425
(980) 461-8050
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
08/30/2021
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