Massaro, Anthony
Massaro, Anthony is an individual health care provider with primary practice located at 7711 Baymeadows Rd E Ste 7 , Jacksonville FL 32256-9110. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Massaro, Anthony can be contacted via phone (904) 565-1505.Contact Information
Primary practice address
7711 Baymeadows Rd E Ste 7
Jacksonville FL 32256-9110
Phone: (904) 565-1505
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN20307 | Florida |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | DN20307 | Florida |
Profile Details
NPI number | 1003175498 |
---|---|
LBN Legal business name | Massaro, Anthony |
Credentials | MD, DMD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 7th, 2012 |
Last updated | Mar 22nd, 2024 - about 6 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003175498 | NPPES |
Florida | MEDICAID | 712859 |
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