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Individual

MR. DONALD DEAN MINOCCHI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
51 S CENTER ST, ORMOND BEACH, FL 32174-8462
(386) 673-6474
Mailing address
51 S CENTER ST, ORMOND BEACH, FL 32174-8462
(386) 673-6474

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5164754
FL

Other

Enumeration date
01/13/2008
Last updated
01/13/2008
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