Gerard A Coluccelli Md Pa

LBN: Gerard A Coluccelli Md Pa
Gerard A Coluccelli Md Pa is an health care organization with primary practice located at 1235 San Marco Blvd 401, Jacksonville FL 32207. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Gerard A Coluccelli Md Pa can be contacted via phone (904) 346-3506, or through Coluccelli, Gerard A via phone (904) 346-3506.

Contact Information

Primary practice address
1235 San Marco Blvd 401 Jacksonville FL 32207
Phone: (904) 346-3506
Fax: (904) 346-0712
Website:
Map and Directions
Authorized official contact:
Name: Coluccelli, Gerard A Doctor of Medicine (MD)
Phone: (904) 346-3506

Health care specialties

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

Profile Details

NPI number 1477605962
LBN Legal business name Gerard A Coluccelli Md Pa
DBA Doing business as
Authorized official Coluccelli, Gerard A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Mar 27th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477605962 NPPES
Florida Other K2484 MEDICARE
Florida Other 15671 MEDICARE

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