NPI | 1205997079 |
---|---|
Doing Business As | LOCICERO MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | NICHOLAS GALANTINO Adminstrator 813-876-7073 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME47336) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |