Provider Demographics
NPI:1982935094
Name:PICCOLINO, JAMES M (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:PICCOLINO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:999 BRICKELL BAY DR APT 1406
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2931
Mailing Address - Country:US
Mailing Address - Phone:718-753-8947
Mailing Address - Fax:
Practice Address - Street 1:999 BRICKELL BAY DR APT 1406
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2931
Practice Address - Country:US
Practice Address - Phone:855-375-2637
Practice Address - Fax:305-441-8146
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9864111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor