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Individual

JOSEPH A CIMINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8045 SPYGLASS HILL RD, STE 105, MELBOURNE, FL 32940-8567
(321) 610-7105
(321) 610-4975
Mailing address
8045 SPYGLASS HILL RD, STE 105, MELBOURNE, FL 32940-8567
(321) 610-7105
(321) 610-4975

Taxonomy

Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
ME58076
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063700900
FL
01
10823
BLUE CROSS BLUE SHIELD
FL
01
18244
WELLCARE
FL
01
4130489
AETNA
FL
01
6121423006
CIGNA
FL
01
666859
AETNA
FL
Enumeration date
11/09/2005
Last updated
01/31/2011
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