Jacomino, Mario

Jacomino, Mario is an individual health care provider with primary practice located at 777 Glades Rd # Bc-71 , Boca Raton FL 33431-6496. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Jacomino, Mario can be contacted via phone (561) 297-0723.

Contact Information

Primary practice address
777 Glades Rd # Bc-71 Boca Raton FL 33431-6496
Phone: (561) 297-0723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X ME0063760 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0063760 Florida

Profile Details

NPI number 1134158884
LBN Legal business name Jacomino, Mario
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jan 31st, 2022 - 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 1134158884 NPPES
Florida MEDICAID 3791033-00

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