Whalio Doctors

NPI 1376814707

Roy J Cacciaguida MD PA

Organisation Exclusive Provider Organization West Palm Beach, FL

Practice location

Address
1500 N Dixie Hwy STE 201 201, West Palm Beach, FL 33401-2716
Phone
(561) 832-3004
Fax
(561) 833-0460
Mailing address
7780 Ironhorse Blvd, West Palm Beach, FL 33412-2423

Authorised official

Name
Roy J Cacciaguida MD PA
Title
Doctor/Owner
Phone
(561) 832-3004

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X Licence ME019768 (FL)

Registry record

NPI
1376814707
Entity type
Organization
NPI issued
17 Jan 2012
Record last updated
23 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.