Individual
ANTHONY PAUL MICOLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2818 MADRID ST, JACKSONVILLE BEACH, FL 32250-6066
(904) 945-0065
Mailing address
2818 MADRID ST, JACKSONVILLE BEACH, FL 32250-6066
(904) 945-0065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19929
FL
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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