Individual
ERIC CICCHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-4434
Mailing address
134 GRAND AVE, SUWANEE, GA 30024-4289
(678) 522-9636
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11001228
FL
367500000X
Certified Registered Nurse Anesthetist
RN242342
GA
Other
Enumeration date
10/12/2018
Last updated
02/07/2019
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