Fallucco, Michael A.

Fallucco, Michael A. is an individual health care provider with primary practice located at 14540 Old Saint Augustine Rd Suite 2391, Jacksonville FL 32258-7418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, which is considered as his primary health care specialty. Fallucco, Michael A. can be contacted via phone (904) 262-3372.

Contact Information

Primary practice address
14540 Old Saint Augustine Rd Suite 2391 Jacksonville FL 32258-7418
Phone: (904) 262-3372
Fax: (904) 262-3306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X ME109463 Florida

Profile Details

NPI number 1851594436
LBN Legal business name Fallucco, Michael A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Apr 11th, 2012 - 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 1851594436 NPPES
Florida Other 14C77 BCBS

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