Organization
CARMINE CHIOCCARIELLO PT PA
Active
Organization
CARMINE CHIOCCARIELLO PT PA
Active
Other names
SPORTS INJURY & PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
CARMINE J CHIOCCARIELLO PT (OWNER)
(718) 313-0438
Entity
Organization
Contact information
Practice address
780 94TH AVE N STE 112, SAINT PETERSBURG, FL 33702-2468
(727) 288-6279
Mailing address
780 94TH AVE N STE 112, ST PETERSBURG, FL 33702-2468
(718) 313-0438
(727) 327-2897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT11189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0816273
AETNA
FL
01
—
Y920F
BCBS
FL
Enumeration date
05/22/2007
Last updated
02/07/2022
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