Angiolillo, Dominick Joseph

Angiolillo, Dominick Joseph is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Cardiology Dept., Jacksonville FL 32209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Angiolillo, Dominick Joseph can be contacted via phone (904) 244-3660.

Contact Information

Primary practice address
655 W 8Th St Ufjp Cardiology Dept. Jacksonville FL 32209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME99467 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME99467 Florida

Profile Details

NPI number 1578687844
LBN Legal business name Angiolillo, Dominick Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jun 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578687844 NPPES
Georgia MEDICAID 106635675A
Georgia MEDICAID 2777673-00

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