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Individual

DR. JOHN E ACCOLA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 518-3703
(407) 933-5860
Mailing address
801 W OAK ST, SUITE 205, KISSIMMEE, FL 34741-6614
(407) 944-0611
(407) 944-4311

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
39260
FL
207ZH0000X
Hematology (Pathology) Physician
39260
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
39260
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
064713600
FL
Enumeration date
07/26/2006
Last updated
09/09/2009
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