Cacciatore, Henry Anthony

Cacciatore, Henry Anthony is an sole proprietor health care provider with primary practice located at 2822 W Virginia Ave , Tampa FL 33607-6330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cacciatore, Henry Anthony can be contacted via phone (813) 875-5855.

Contact Information

Primary practice address
2822 W Virginia Ave Tampa FL 33607-6330
Phone: (813) 875-5855
Fax: (813) 871-6139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME9675 Florida

Profile Details

NPI number 1952350811
LBN Legal business name Cacciatore, Henry Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Feb 13th, 2013 - about 11 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 1952350811 NPPES
Florida MEDICAID 432440000

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