Picerno, Richard A
Picerno, Richard A is an individual health care provider with primary practice located at 14534 Old Saint Augustine Rd Ste 3220 , Jacksonville FL 32258-2645. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Picerno, Richard A can be contacted via phone (904) 880-1260.Contact Information
Primary practice address
14534 Old Saint Augustine Rd Ste 3220
Jacksonville FL 32258-2645
Phone: (904) 880-1260
Fax: (904) 880-1210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | ME93510 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME93510 | Florida |
Profile Details
| NPI number | 1649271917 |
|---|---|
| LBN Legal business name | Picerno, Richard A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Nov 17th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649271917 | NPPES |
| Florida | MEDICAID | 273545800 | |
| Florida | Other | P00251780 |
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