Colucci, Robert Daniel

Colucci, Robert Daniel is an sole proprietor health care provider with primary practice located at 740 Dunlawton Ave , Port Orange FL 32127-4239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Colucci, Robert Daniel can be contacted via phone (386) 763-1000.

Contact Information

Primary practice address
740 Dunlawton Ave Port Orange FL 32127-4239
Phone: (386) 763-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 199981 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 199981 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X OS18094 Florida

Profile Details

NPI number 1306918339
LBN Legal business name Colucci, Robert Daniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
Last updated Sep 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306918339 NPPES
New York MEDICAID 02126507
New York MEDICAID 02916365

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