Organization
ROY J CACCIAGUIDA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY J CACCIAGUIDA MD PA MD PA (DOCTOR/OWNER)
(561) 832-3004
Entity
Organization
Contact information
Practice address
1500 N DIXIE HWY STE 201, 201, WEST PALM BEACH, FL 33401-2716
(561) 832-3004
(561) 833-0460
Mailing address
7780 IRONHORSE BLVD, WEST PALM BEACH, FL 33412-2423
(561) 832-3004
(561) 833-0460
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
ME019768
FL
Other
Enumeration date
01/17/2012
Last updated
10/23/2012
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