Iannacone, Robert A

Iannacone, Robert A is an sole proprietor health care provider with primary practice located at 691 Sw Port St Lucie Blvd , Port St Lucie FL 34953-1998. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Iannacone, Robert A can be contacted via phone (772) 878-0040.

Contact Information

Primary practice address
691 Sw Port St Lucie Blvd Port St Lucie FL 34953-1998
Phone: (772) 878-0040
Fax: (772) 878-4265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO0002344 Florida

Profile Details

NPI number 1598758278
LBN Legal business name Iannacone, Robert A
Credentials DPM, P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Nov 8th, 2023 - about 2 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 1598758278 NPPES
Florida MEDICAID 390134300
Florida Other 6200153
Florida Other 1158590001
Florida Other 5400043
Florida Other 65302

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