Dr. Richard Delboccio
Dentist in Port Charlotte, FL. Individual provider (NPI-1).
NPI number1124186366
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1124186366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Delboccio
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2006
- Certification date
- Feb 7, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN15283 | FL | Yes |
Practice location
2300 Tamiami TrlPort Charlotte, FL 33952-3900
Phone 941-841-7656
Mailing address
2300 Tamiami TrlPort Charlotte, FL 33952-3900
Phone 941-841-7656
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