Selvaggi, Gennaro

Selvaggi, Gennaro is an individual health care provider with primary practice located at 1611 Nw 12Th Ave Box 016960 (M851), Miami FL 33136-1005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Selvaggi, Gennaro can be contacted via phone (305) 243-6358.

Contact Information

Primary practice address
1611 Nw 12Th Ave Box 016960 (M851) Miami FL 33136-1005
Phone: (305) 243-6358
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME82957 Florida
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X ME82957 Florida

Profile Details

NPI number 1255353165
LBN Legal business name Selvaggi, Gennaro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 22nd, 2023 - about 3 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 1255353165 NPPES
Florida MEDICAID 2671492-00

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