Organization
RICHARD DEGREGORIO MD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DEGREGORIO M.D. (PRESIDENT)
(727) 545-2339
Entity
Organization
Contact information
Practice address
8455 66TH ST, PINELLAS PARK, FL 33781-1206
(727) 545-2339
(727) 545-0289
Mailing address
8455 66TH ST, PINELLAS PARK, FL 33781-1206
(727) 545-2339
(727) 545-0289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0056017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031394700
—
FL
01
—
ME0056017
MEDICAL LICENSE
FL
01
—
P00087790
RAILROAD MEDICARE
FL
Enumeration date
12/04/2006
Last updated
06/09/2009
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