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Individual

WILLIAM R PROCACCINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-3578
(727) 767-4249
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-3578
(727) 767-4249

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
ND5446
FL

Other

Enumeration date
10/14/2014
Last updated
10/14/2014
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