Idicula Medical Associates MD PA

NPI #1982781688 in Brooksville, Florida

Provider Information

NPI Number: 1982781688
Entity Type: Organization
Organization Name: Idicula Medical Associates MD PA
Primary Specialty: Specialist
Enumeration Date: Nov 1, 2006
Last Updated: Oct 26, 2009

Practice Location

Address: 10065 CORTEZ BLVD
City: Brooksville
State: Florida
ZIP Code: 34613
Phone: (352) 596-4660

Authorized Official

Name: DR. JOSEPH IDICULA
Title: PRESIDENT
Phone: (352) 596-4660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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