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NPI Profile for MICHAEL J DIPIETRO III in ORANGE PARK, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Independent Duty Corpsman |
1710I1002X |
| NPI # | 1407171556 |
|
| Status | Active | |
| Credentials | MS IMH 26293 | |
| Entity | Individual | |
| Enumeration date | 04/01/2010 | |
| Last updated | 08/07/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHAEL J DIPIETRO III
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MICHAEL J DIPIETRO III, MS IMH 26293