Michele L. Musto in Jacksonville - Adult Medicine
Michele L. Musto - NPI 1699977694
Michele L. Musto is a Adult Medicine in Jacksonville, Florida. Michele L. Musto practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Michele L. Musto is 1699977694. The last update date is 2019-01-25.
Michele L. Musto's current location address is 820 Prudential Dr Ste 304, Jacksonville, Florida. You can contact this provider via phone number 9042023860 and fax number 9042023846. The mailing address for Michele L. Musto is 820 Prudential Dr Ste 304, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michele L. Musto |
|---|---|
| Address | 820 Prudential Dr Ste 304, Jacksonville, Florida |
| Phone Number | 9042023860 |
| Fax Number | 9042023846 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699977694 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2019-01-25 |
Provider Mailing Address Detail
| Address | 820 Prudential Dr Ste 304 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078205 |
| Phone Number | 9042023860 |
| Fax Number | 9042023846 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | TL31424 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13879800 | FL | -- | |
| 770574093A | GA | -- | |
| 1067717 | GA | AMERIGROUP MEDICAID | |
| 395491 | GA | WELLCARE MEDICAID |
Post Comment/ Review Below
What is the unique identifier code issued to Michele L. Musto by the Centers for Medicare & Medicaid Services (CMS)?
The Michele L. Musto has been assigned the NPI (National Provider Identifier) 1699977694. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Michele L. Musto is located?
The Michele L. Musto is situated at the following address: 820 Prudential Dr Ste 304, Jacksonville, FL, 322078205.
What is Michele L. Musto's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michele L. Musto is Adult Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0505X.
On what date did the Michele L. Musto receive the assignment of its 1699977694 from the Centers for Medicare & Medicaid Services?
The Michele L. Musto was issued its 1699977694 by the Centers for Medicare & Medicaid Services on 2007-06-01.
When was the information related to Michele L. Musto most recently updated or refreshed?
The details pertaining to the Michele L. Musto, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-01-25.
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