Gerard A.Coluccelli,M.D. in Jacksonville - Eyewear Supplier
Gerard A.Coluccelli,M.D. - NPI 1134236847
Gerard A.Coluccelli,M.D. is a Eyewear Supplier in Jacksonville, Florida. Gerard A.Coluccelli,M.D. practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Gerard A.Coluccelli,M.D. is 1134236847. The last update date is 2007-11-14.
Gerard A.Coluccelli,M.D.'s current location address is 1235 San Marco Blvd, Jacksonville, Florida. You can contact this provider via phone number 9043982111 and fax number 9043460712. The mailing address for Gerard A.Coluccelli,M.D. is 1235 San Marco Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gerard A.Coluccelli,M.D. |
|---|---|
| Address | 1235 San Marco Blvd, Jacksonville, Florida |
| Phone Number | 9043982111 |
| Fax Number | 9043460712 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Coluccelli A Gerard |
| Credentials | M.D. |
| Telephone Number | 9043982111 |
NPI Number Detail
| NPI Number | 1134236847 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2007-11-14 |
Provider Mailing Address Detail
| Address | 1235 San Marco Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078554 |
| Phone Number | 9043982111 |
| Fax Number | 9043460712 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | ME39542 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15671 | FL | BCBS | |
| 3948990001 | FL | DMARC | |
| 15671X | FL | MEDICARE | |
| 4045150 | FL | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Gerard A.Coluccelli,M.D. by the Centers for Medicare & Medicaid Services?
The Gerard A.Coluccelli,M.D. has been assigned the NPI (National Provider Identifier) 1134236847. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gerard A.Coluccelli,M.D. is physically located?
The Gerard A.Coluccelli,M.D. is physically situated at the following address: 1235 San Marco Blvd, Jacksonville, FL, 322078554.
What is Gerard A.Coluccelli,M.D.'s area of expertise and its corresponding taxonomy classification?
The Gerard A.Coluccelli,M.D.'s field of specialization is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their areas of practice.
When did Gerard A.Coluccelli,M.D. receive its 1134236847 assignment?
The Gerard A.Coluccelli,M.D. was assigned its 1134236847 on 2006-08-25, which is the date when this unique identifier was issued to the organization.
When was the information regarding Gerard A.Coluccelli,M.D. most recently updated?
The details pertaining to the Gerard A.Coluccelli,M.D., including its address, specialty, and other relevant information, were last refreshed on 2007-11-14.
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