Individual
DR. JOHN ANTHONY FORCELLA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9238 US HIGHWAY 19, PORT RICHEY, FL 34668-4853
(727) 849-8492
(727) 849-3472
Mailing address
11528 US HWY 19, PORT RICHEY, FL 34668
(727) 868-2151
(727) 868-8251
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
OS10547
FL
207RI0011X
Interventional Cardiology Physician
Primary
OS10547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002448600
—
FL
01
—
14A51
BLUE CROSS BLUE SHIELD
FL
01
—
21776501
WELLMED
FL
01
—
21776502
WELLMED
FL
01
—
2196537
COVENTRY
FL
01
—
332801
AVMED
FL
Enumeration date
01/29/2009
Last updated
07/21/2022
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