Individual
DR. ANTHONY J PACITTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 ZEAGLER DR, SUITE 203, PALATKA, FL 32177-3888
(386) 312-8519
(386) 312-8523
Mailing address
PO BOX 850001, ORLANDO, FL 32885-0192
(904) 282-6331
(904) 282-1550
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME78644
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020046738
RAILROAD MEDICARE
FL
05
—
256869100
—
FL
01
—
47079
BLUE SHIELD
FL
Enumeration date
01/24/2007
Last updated
04/15/2010
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