Palomino-Pitocchi, Lourdes

Palomino-Pitocchi, Lourdes is an individual health care provider with primary practice located at 274 3Rd Ave S , Jacksonville Beach FL 32250-6727. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Palomino-Pitocchi, Lourdes can be contacted via phone (904) 249-3373.

Contact Information

Primary practice address
274 3Rd Ave S Jacksonville Beach FL 32250-6727
Phone: (904) 249-3373
Fax: (904) 249-3375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME62355 Florida

Profile Details

NPI number 1770576746
LBN Legal business name Palomino-Pitocchi, Lourdes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Sep 1st, 2011 - about 13 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 1770576746 NPPES
Florida MEDICAID 372070500

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