Individual
JOHN RICHARD NOVIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7934
(561) 737-7733
Mailing address
517 38TH ST, WEST PALM BEACH, FL 33407-4101
(561) 863-8721
(561) 863-8721
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
ARNP9167947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304528500
—
FL
01
—
G27482
FLORIDA BLUE CROSS/BLUE SHIELD
FL
Enumeration date
05/26/2006
Last updated
05/09/2008
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