Pecoraro, Joseph P

Pecoraro, Joseph P is an sole proprietor health care provider with primary practice located at 2225 59Th St W Suite B, Bradenton FL 34209-7017. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Pecoraro, Joseph P can be contacted via phone (941) 761-1746.

Contact Information

Primary practice address
2225 59Th St W Suite B Bradenton FL 34209-7017
Fax: (941) 761-0188
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME59036 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME59036 Florida

Profile Details

NPI number 1750355954
LBN Legal business name Pecoraro, Joseph P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Dec 11th, 2018 - about 7 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 1750355954 NPPES
Florida MEDICAID 263214400

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