Organization
CARIFI BREAST CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT G CARIFI M.D. (OWNER)
(863) 421-7276
Entity
Organization
Contact information
Practice address
171 WEBB DRIVE, SUITE #1, DAVENPORT, FL 33837
(863) 421-7276
(863) 421-7109
Mailing address
171 WEBB DRIVE, SUITE #1, DAVENPORT, FL 33837
(863) 421-7276
(863) 421-7109
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME30206
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53512
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/04/2006
Last updated
01/10/2008
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