Miceli, Gerald
Miceli, Gerald is an individual health care provider with primary practice located at 300 Clyde Morris Blvd Ste A , Ormond Beach FL 32174-5909. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Miceli, Gerald can be contacted via phone (386) 317-8620.Contact Information
Primary practice address
300 Clyde Morris Blvd Ste A
Ormond Beach FL 32174-5909
Phone: (386) 317-8620
Fax: (386) 317-8625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME62517 | Florida |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME62517 | Florida |
Profile Details
| NPI number | 1396705570 |
|---|---|
| LBN Legal business name | Miceli, Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | May 17th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396705570 | NPPES |
| Florida | Other | 25294W | MEDICARE ID |
| Florida | Other | ME62517 | MEDICARE ID |
| Florida | Other | 25294 | MEDICARE ID |
| Florida | Other | 460003874 | MEDICARE ID |
| Florida | Other | ME62517 | MEDICARE ID |
| Florida | Other | ME62517 | MEDICARE ID |
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