Individual
DR. JAMIE TODD CARACCIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441 MBC-MMG, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
227292
MA
2085R0202X
Diagnostic Radiology Physician
Primary
ME98138
FL
Other
Enumeration date
08/13/2006
Last updated
05/22/2024
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