Cavallaro, Michael C

Cavallaro, Michael C is an individual health care provider with primary practice located at 1600 Phillips Rd , Tallahassee FL 32308-5304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Cavallaro, Michael C can be contacted via phone (850) 878-4127.

Contact Information

Primary practice address
1600 Phillips Rd Tallahassee FL 32308-5304
Phone: (850) 878-4127
Fax: (850) 878-0337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X ME54263 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME54263 Florida

Profile Details

NPI number 1548213879
LBN Legal business name Cavallaro, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 6th, 2015 - about 9 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 1548213879 NPPES
Florida MEDICAID 255299000
Florida MEDICAID 000841057A
Florida MEDICAID 000841057D
Florida MEDICAID 000841057C
Florida Other E1603

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