Michael A. Fallucco in Jacksonville - Plastic Surgery Within The Head And Neck
Michael A. Fallucco - NPI 1851594436
Michael A. Fallucco is a Plastic Surgery Within The Head And Neck in Jacksonville, Florida. Michael A. Fallucco practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Michael A. Fallucco is 1851594436. The last update date is 2012-04-11.
Michael A. Fallucco's current location address is 11945 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9043961725 and fax number 9043991717. The mailing address for Michael A. Fallucco is 11945 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael A. Fallucco |
|---|---|
| Address | 11945 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9043961725 |
| Fax Number | 9043991717 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1851594436 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2012-04-11 |
Provider Mailing Address Detail
| Address | 11945 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322231627 |
| Phone Number | 9043961725 |
| Fax Number | 9043991717 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head And Neck |
|---|---|
| Taxonomy | 2082S0099X |
| Licence No | ME109463 |
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Definition: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14C77 | FL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Michael A. Fallucco by the Centers for Medicare & Medicaid Services (CMS)?
The Michael A. Fallucco has been assigned the NPI (National Provider Identifier) 1851594436. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Michael A. Fallucco's physical address?
The Michael A. Fallucco is physically located at 11945 San Jose Blvd, in the city of Jacksonville, FL, with the postal code 322231627.
What is Michael A. Fallucco's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael A. Fallucco is Plastic Surgery Within The Head And Neck, and the taxonomy code that categorizes this field of expertise is 2082S0099X.
On what date did the Michael A. Fallucco receive its 1851594436 assignment from the Centers for Medicare & Medicaid Services?
The Michael A. Fallucco was assigned its 1851594436 by the Centers for Medicare & Medicaid Services on 2007-06-08.
As of what date were the details related to Michael A. Fallucco most recently updated or revised?
The information pertaining to Michael A. Fallucco, including its address, specialty, and other relevant details, was last updated or revised on 2012-04-11.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC