Gerard A Coluccelli Md Pa in Jacksonville - Ophthalmology

Gerard A Coluccelli Md Pa - NPI 1477605962

Gerard A Coluccelli Md Pa is a Ophthalmology in Jacksonville, Florida. Gerard A Coluccelli Md Pa practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Gerard A Coluccelli Md Pa is 1477605962. The last update date is 2008-03-27.

Gerard A Coluccelli Md Pa's current location address is 1235 San Marco Blvd, Jacksonville, Florida. You can contact this provider via phone number 9043463506 and fax number 9043460712. The mailing address for Gerard A Coluccelli Md Pa is 1235 San Marco Blvd, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gerard A Coluccelli Md Pa
Address 1235 San Marco Blvd, Jacksonville, Florida
Phone Number 9043463506
Fax Number 9043460712
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Coluccelli A Gerard
Credentials M.D.
Telephone Number 9043463506

NPI Number Detail

NPI Number 1477605962
Provider Enumeration Date 2007-01-17
Last Updated Date 2008-03-27

Provider Mailing Address Detail

Address 1235 San Marco Blvd
City Jacksonville
State Florida (FL)
Post Code 32207
Phone Number 9043463506
Fax Number 9043460712

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No ME39542
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
K2484 FL MEDICARE
15671 FL BLUE CROSS BLUE SHIELD

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FAQs about Gerard A Coluccelli Md Pa

What is the unique 10-digit identification code assigned to Gerard A Coluccelli Md Pa by the Centers for Medicare & Medicaid Services?

The Gerard A Coluccelli Md Pa has been issued the NPI (National Provider Identifier) 1477605962, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Gerard A Coluccelli Md Pa?

The Gerard A Coluccelli Md Pa is physically situated at 1235 San Marco Blvd, in the city of Jacksonville, state of FL, with the postal code 32207.

What is the Gerard A Coluccelli Md Pa's area of specialization and corresponding taxonomy classification?

The Gerard A Coluccelli Md Pa's specialty field is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their specialties.

When did the Gerard A Coluccelli Md Pa receive its 1477605962?

The Gerard A Coluccelli Md Pa was issued its 1477605962 on 2007-01-17, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Gerard A Coluccelli Md Pa most recently updated or revised?

The details related to Gerard A Coluccelli Md Pa, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-27.

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