Michele Cracchiola in Port St Lucie - Pediatrics
Michele Cracchiola - NPI 1700929213
Michele Cracchiola is a Pediatrics in Port St Lucie, Florida. Michele Cracchiola practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Michele Cracchiola is 1700929213. The last update date is 2007-07-09.
Michele Cracchiola's current location address is 906 Sw Saint Lucie West Blvd, Port St Lucie, Florida. You can contact this provider via phone number 7723428988 and fax number 8634676262. The mailing address for Michele Cracchiola is 906 Sw Saint Lucie West Blvd, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michele Cracchiola |
|---|---|
| Address | 906 Sw Saint Lucie West Blvd, Port St Lucie, Florida |
| Phone Number | 7723428988 |
| Fax Number | 8634676262 |
| Sole Proprietor | Y |
| Credentials | MS, OTR |
NPI Number Detail
| NPI Number | 1700929213 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 906 Sw Saint Lucie West Blvd |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349861766 |
| Phone Number | 7723428988 |
| Fax Number | 8634676262 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | OT9550 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z002J | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Michele Cracchiola by the Centers for Medicare & Medicaid Services (CMS)?
The Michele Cracchiola has been assigned the NPI (National Provider Identifier) 1700929213. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Michele Cracchiola located?
The Michele Cracchiola is located at 906 Sw Saint Lucie West Blvd, Port St Lucie, FL 349861766.
What is Michele Cracchiola's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michele Cracchiola is Pediatrics, and the taxonomy code that categorizes this field of expertise is 225Xp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700929213 to Michele Cracchiola?
The Centers for Medicare & Medicaid Services originally issued the 1700929213 to Michele Cracchiola on 2007-02-14.
When was the Michele Cracchiola's information last updated?
The Michele Cracchiola's information was last updated on 2007-07-09.