Individual
MR. JOSEPH RENE IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6331 STATE ROAD 54, NEW PORT RICHEY, FL 34653-6037
(727) 351-8121
(727) 834-9995
Mailing address
2901 58TH AVE N, ST PETERSBURG, FL 33714-1326
(727) 822-4300
(727) 456-1399
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME66366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375496100
—
FL
Enumeration date
01/30/2006
Last updated
07/17/2020
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