Individual
DR. ROBERTO DI NICOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
353 N CLYDE MORRIS BLVD, SUTE 1, DAYTONA BEACH, FL 32114-2732
(386) 252-6622
Mailing address
353 N CLYDE MORRIS BLVD, SUTE 1, DAYTONA BEACH, FL 32114-2732
(386) 252-6622
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME0051694
FL
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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