Individual
MR. JOSEPH PATRICK BIVONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
18167 US HIGHWAY 19 N, CLEARWATER, FL 33764-3528
(727) 507-3600
Mailing address
12600 PARKBURY DR, ORLANDO, FL 32828-5842
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106394
FL
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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