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Individual

DR. JOSEPH P PECORARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2225 59TH ST W, SUITE B, BRADENTON, FL 34209-7017
(941) 761-1746
(941) 761-0188
Mailing address
2225 59TH ST W, SUITE B, BRADENTON, FL 34209-7017
(941) 761-1746
(941) 761-0188

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME59036
FL
208600000X
Surgery Physician
Primary
ME59036
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
263214400
FL
Enumeration date
02/14/2006
Last updated
12/11/2018
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