Locicero Medical Group

LBN: Karon R Locicero Md Pa
Locicero Medical Group is an health care organization with primary practice located at 2605 W Swann Ave Ste 600, Tampa FL 33609-4039. The organization recently has 15 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Diabetes Educator, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Podiatric Medicine & Surgery Service Providers / Podiatrist, Speech, Language and Hearing Service Providers / Audiologist, Suppliers / Non-Pharmacy Dispensing Site. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Karon R Locicero Md Pa can be contacted via phone (813) 876-7073, or through Galantino, Nicholas via phone (813) 876-7073.

Contact Information

Primary practice address
2605 W Swann Ave Ste 600 Tampa FL 33609-4039
Phone: (813) 876-7073
Fax: (813) 877-1277
Website:
Map and Directions
Authorized official contact:
Name: Galantino, Nicholas
Phone: (813) 876-7073

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X Florida
Nursing Service Providers / Diabetes Educator 163WD0400X ND613 Florida
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME48993 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME73426 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P02239 Florida
Speech, Language and Hearing Service Providers / Audiologist 231H00000X Florida
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1326064890
LBN Legal business name Karon R Locicero Md Pa
DBA Doing business as Locicero Medical Group
Authorized official Galantino, Nicholas
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated Dec 4th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326064890 NPPES
Florida MEDICAID 048214500
Florida Other 1023631

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