Michael B Boccia PHD

NPI 1013061019 - Psychologist - 103T00000X

NPI Details
NPI 1013061019
Gender Male
Enumeration Date 01/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12497 SOUTH TAMIAMI TRAIL
SUITE 9
NORTH PORT FL, 34287, US
Phone (941) 815-6077
Fax (941) 429-0814
Business Location
1392 RED OAK LANE
PORT CHARLOTTE FL, 33948, US
Phone (941) 743-3265
Fax
Toxanomy
Taxonomy Code 103T00000X
License State New York
License Number 0087021
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According to our database, Dr. Michael B Boccia PHD NPI is 1013061019, taxonomy code is 103T00000X and license number is 0087021, license state is located at New York. Michael B Boccia PHD physically located at 12497 South Tamiami Trail, North Port FL, 34287. NPI Number Michael B Boccia PHD has the Individual type.

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1013061019 NPI number is provided on an as is basis without warranty of any kind. 1013061019 is maintained by the National Plan & Provider Enumeration System. The contents of Michael B Boccia PHD are for informational purposes only.