Funicello, Alex Vincent

Funicello, Alex Vincent is an individual health care provider with primary practice located at 5996 Sw 70Th St Fl 5 , South Miami FL 33143-3540. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Funicello, Alex Vincent can be contacted via phone (305) 284-7655.

Contact Information

Primary practice address
5996 Sw 70Th St Fl 5 South Miami FL 33143-3540
Phone: (305) 284-7655
Fax: (305) 284-7763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME98852 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME98852 Florida

Profile Details

NPI number 1992906432
LBN Legal business name Funicello, Alex Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Dec 14th, 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 1992906432 NPPES
Florida MEDICAID 115914100

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