Bologna, Marco Teodoro

Bologna, Marco Teodoro is an sole proprietor health care provider with primary practice located at 8950 N Kendall Dr Ste 506W , Miami FL 33176-2127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Bologna, Marco Teodoro can be contacted via phone (786) 596-1230.

Contact Information

Primary practice address
8950 N Kendall Dr Ste 506W Miami FL 33176-2127
Phone: (786) 596-1230
Fax: (786) 533-9297
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME97766 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25242 Alabama
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME97766 Florida

Profile Details

NPI number 1316992365
LBN Legal business name Bologna, Marco Teodoro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Jul 19th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316992365 NPPES
Alabama MEDICAID 009932919
Alabama Other 010033CI37553
Alabama MEDICAID 009932702
Alabama Other 051530105
Alabama MEDICAID 277690100
Alabama Other 051530103
Alabama Other 02208294

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