Petrocelli, Michael John

Petrocelli, Michael John is an individual health care provider with primary practice located at 1715 Heritage Trl Suite 204, Naples FL 34112-8715. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Petrocelli, Michael John can be contacted via phone (239) 775-0019.

Contact Information

Primary practice address
1715 Heritage Trl Suite 204 Naples FL 34112-8715
Phone: (239) 775-0019
Fax: (239) 775-0219
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO-2399 Florida

Profile Details

NPI number 1811988165
LBN Legal business name Petrocelli, Michael John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Aug 25th, 2009 - about 15 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 1811988165 NPPES
Florida MEDICAID 340308400
Florida Other 4544600001
Florida Other 4574474
Florida Other 65356

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