Individual
RUSSELL ANTHONY PECORARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2023 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073-4468
(904) 272-2020
Mailing address
2023 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073-4468
(904) 272-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME97791
FL
207W00000X
Ophthalmology Physician
R0838
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100007660
—
KY
Enumeration date
09/29/2006
Last updated
04/05/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us