Organization
ROBERT A IANNACONE DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A IANNACONE DPM (OWNER)
(772) 878-0040
Entity
Organization
Contact information
Practice address
691 SW PORT SAINT LUCIE BLVD, PORT SAINT LUCIE, FL 34953-1998
(772) 878-0040
(772) 878-4265
Mailing address
691 SW PORT SAINT LUCIE BLVD, PORT SAINT LUCIE, FL 34953-1998
(772) 878-0040
(772) 878-4265
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
12/06/2007
Last updated
12/13/2007
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