Robert a Iannacone Dpm

NPI #1467635011 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1467635011
Entity Type: Organization
Organization Name: Robert a Iannacone Dpm
Primary Specialty: Podiatrist
Enumeration Date: Dec 6, 2007
Last Updated: Dec 13, 2007

Practice Location

Address: 691 SW PORT SAINT LUCIE BLVD
City: Port Saint Lucie
State: Florida
ZIP Code: 34953-1998
Phone: (772) 878-0040

Authorized Official

Name: DR. ROBERT A IANNACONE, DPM
Title: OWNER
Phone: (772) 878-0040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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