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Individual

DOMINICK M CARACCIOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2055 MILITARY TRL, SUITE 303, JUPITER, FL 33458-7801
(561) 427-0860
(561) 427-0870
Mailing address
2055 MILITARY TRL, SUITE 303, JUPITER, FL 33458-7801
(561) 427-0860
(561) 427-0870

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102467
FL

Other

Enumeration date
02/22/2006
Last updated
07/08/2007
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