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Search › Florida › 363A00000X

Kenneth Boccaccio, PA-C

NPI 1194751255 · on the registry since 2006

Practice

Address
12880 Commodity Place
Tampa, FL 33626
Phone
(813) 343-5500
Fax
(813) 343-5506
Organisation at this address
Intralign Fl Llc
Intralign Fl Llc
Intralign Fl Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida