Individual
LOURDES PALOMINO-PITOCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
274 3RD AVE S, JACKSONVILLE BEACH, FL 32250-6727
(904) 249-3373
(904) 249-3375
Mailing address
3074 AMELLIA DR, JACKSONVILLE, FL 32257-5702
(904) 731-9367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME62355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372070500
—
FL
Enumeration date
08/25/2005
Last updated
09/01/2011
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