Individual
MR. JAMES D DELLAVECCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5741 BEE RIDGE RD, SUITE 280, SARASOTA, FL 34233-5064
(941) 365-0655
Mailing address
5741 BEE RIDGE RD, SUITE 280, SARASOTA, FL 34233-5064
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PAT 9104309
FL
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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