| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | David Christopher Ianacone | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | David | [sources] | |||
| Last name | Ianacone | [sources] | |||
| Middle name | Christopher | [sources] | |||
| NPI | 1396816336 | [sources] | |||
| Registration number | 00G756360 · G75636 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 2335 Compass Pointe Dr., Vero Beach, FL, 32966-2114 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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