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NPI Code Detail

MEDICARE: THOMAS H MACALUSO MD PA

MEDICARE: THOMAS H MACALUSO MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084F0202XForensic Psychiatry PhysicianFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115067OTHERFLPTAN

General Provider Information

NPI Number : 1578746251
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS H MACALUSO MD PA
Provider Business Mailing Address
First Line : 4600 SHERIDAN ST
Second Line : SUITE 400
City : HOLLYWOOD
State : FL
Zip : 33021-3409
Country : US
Telephone Number : 954-989-3600
Fax Number : 954-894-1884
Provider Business Practice Location Address
First Line : 4600 SHERIDAN ST
Second Line : SUITE 400
City : HOLLYWOOD
State : FL
Zip : 33021-3409
Country : US
Telephone Number : 954-989-3600
Fax Number : 954-894-1884
Authorized Official
Title or Position : PRACTICE LIAISON
Name : MS. MICHELLE GINSBERG
Credential :
Telephone Number : 954-989-3600
Provider Enumeration Date : 12/17/2007
Last Update Date : 12/17/2007

Similar Medicare Providers

1144243221 — THOMAS HENRY MACALUSO M.D.
Practice Location Address:
4600 SHERIDAN ST , SUITE 400
HOLLYWOOD, FL
33021-3409
Practice Phone: 954-989-3600
Practice Fax: 954-894-1884
1730295676 — DEBRA M DRUCKER M.D.
Practice Location Address:
4600 SHERIDAN ST , SUITE 400
HOLLYWOOD, FL
33021-3409
Practice Phone: 954-989-3600
Practice Fax: 954-894-1884
1881701704 — DR. LAURIE N SABRA PH.D.
Practice Location Address:
4600 SHERIDAN ST , SUITE 400
HOLLYWOOD, FL
33021-3409
Practice Phone: 954-989-3600
Practice Fax: 954-894-1884
1235246067 — DR. ABBEY SHEPARD-SMITH PHD
Practice Location Address:
4600 SHERIDAN ST , SUITE 400
HOLLYWOOD, FL
33021-3409
Practice Phone: 954-989-3600
Practice Fax: 954-894-1884
1346423035 — LAURIE NITZBERG SABRA PHD PA
Practice Location Address:
4600 SHERIDAN ST , SUITE 400
HOLLYWOOD, FL
33021-3409
Practice Phone: 954-989-3600
Practice Fax: 954-894-1884
1255605747 — DR. PAMELA MARA KANE D.O.
Practice Location Address:
4600 SHERIDAN ST , SUITE 401
HOLLYWOOD, FL
33021-3409
Practice Phone: 561-239-8149
Practice Fax:

Directions to “THOMAS H MACALUSO MD PA ” Practice Location

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