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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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