Individual
DR. HENRY ANTHONY CACCIATORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2822 W VIRGINIA AVE, TAMPA, FL 33607-6330
(813) 875-5855
(813) 871-6139
Mailing address
2822 W VIRGINIA AVE, TAMPA, FL 33607-6330
(813) 875-5855
(813) 871-6139
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME9675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432440000
—
FL
Enumeration date
05/09/2006
Last updated
02/13/2013
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