Individual
RICHARD A PICERNO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14534 OLD SAINT AUGUSTINE RD STE 3220, JACKSONVILLE, FL 32258-2645
(904) 880-1260
(904) 880-1210
Mailing address
1325 SAN MARCO BLVD, SUITE 200, JACKSONVILLE, FL 32207-8568
(904) 346-3465
(904) 880-1210
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME93510
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME93510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273545800
—
FL
01
—
P00251780
RR MEDICARE
FL
Enumeration date
08/09/2005
Last updated
11/17/2020
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