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Contact Information

IDICULA MEDICAL ASSOCIATES MD PA
10065 CORTEZ BLVD
BROOKSVILLE, FL34613
 Phone: 352-596-4660
 Fax: 352-596-4674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for IDICULA MEDICAL ASSOCIATES MD PA · (Female)

NPI # 1982781688
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2006
Last updated 10/26/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Other CH6323 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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