Coluccelli, Gerard A.

Coluccelli, Gerard A. is an individual health care provider with primary practice located at 931 Brookwood Rd , Jacksonville FL 32207-4211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Coluccelli, Gerard A. can be contacted via phone (904) 399-0441.

Contact Information

Primary practice address
931 Brookwood Rd Jacksonville FL 32207-4211
Phone: (904) 399-0441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME39542 Florida

Profile Details

NPI number 1942317680
LBN Legal business name Coluccelli, Gerard A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Nov 20th, 2014 - about 12 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 1942317680 NPPES
Florida Other 15671 BCBS
Florida Other 180000739 BCBS
Florida Other 4045150 BCBS

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