Individual
DR. RICHARD GORDON PICCIOCCA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
519 MEDICAL OAKS AVE, BRANDON, FL 33511-5961
(813) 685-7995
(813) 685-8802
Mailing address
519 MEDICAL OAKS AVE, BRANDON, FL 33511-5961
(813) 685-7995
(813) 685-8802
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME103771
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME103771
FL
Other
Enumeration date
12/07/2007
Last updated
08/07/2024
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