Paul Bucolo is a Medical in New Smyrna Beach, Florida. Paul Bucolo practices all healthcare services and medical treatments related to Medical. The NPI Number for Paul Bucolo is 1871633719. The last update date is 2023-04-10.
Paul Bucolo's current location address is 125 Florida Memorial Pkwy Ste 2200, New Smyrna Beach, Florida. You can contact this provider via phone number 3864096839 and fax number 3864096916. The mailing address for Paul Bucolo is 125 Florida Memorial Pkwy Ste 2200, New Smyrna Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Bucolo |
|---|---|
| Address | 125 Florida Memorial Pkwy Ste 2200, New Smyrna Beach, Florida |
| Phone Number | 3864096839 |
| Fax Number | 3864096916 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871633719 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2023-04-10 |
Provider Mailing Address Detail
| Address | 125 Florida Memorial Pkwy Ste 2200 |
|---|---|
| City | New Smyrna Beach |
| State | Florida (FL) |
| Post Code | 321689309 |
| Phone Number | 3864096839 |
| Fax Number | 3864096916 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 3476 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 290408000 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Paul Bucolo by the Centers for Medicare & Medicaid Services?
The Paul Bucolo has been issued the NPI (National Provider Identifier) 1871633719 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Paul Bucolo is located?
The Paul Bucolo is situated at the following address: 125 Florida Memorial Pkwy Ste 2200, New Smyrna Beach, FL, 321689309.
What is the area of specialization for Paul Bucolo, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Paul Bucolo is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871633719 to Paul Bucolo?
The Centers for Medicare & Medicaid Services assigned the 1871633719 to Paul Bucolo on 2007-02-08.
When was the information pertaining to Paul Bucolo most recently updated or revised?
The details related to Paul Bucolo, including its address, specialty, and other relevant information, were last updated or revised on 2023-04-10.
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