KENNETH PAUL BOCCACCIO

TAMPA, FL
NPI1194751255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  102296)
Enumeration Date2006-06-23
Last Update Date2012-01-03
Business Address
-- KENNETH PAUL BOCCACCIO PA-C
12880 COMMODITY PLACE
TAMPA, FL 33626-3101
Phone number: 813-343-5500
Mailing Address
-- KENNETH PAUL BOCCACCIO PA-C
PO BOX 21724
TAMPA, FL 33622-1724
Phone number: 813-343-5500
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