MEDICARE: DR. CLAUDIO SMUCLOVISKY MD PHD

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
1	2085R0202X	Diagnostic Radiology Physician	43832	FL
2	2085R0202X	Diagnostic Radiology Physician	82427	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588642557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDIO SMUCLOVISKY MD PHD

Provider Business Mailing Address
First Line	:	PO BOX 11398
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33339-1398
Country	:	US
Telephone Number	:	877-448-8675
Fax Number	:	772-621-3180

Provider Business Practice Location Address
First Line	:	4725 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4603
Country	:	US
Telephone Number	:	954-267-6650
Fax Number	:	954-351-7874

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	02/20/2026

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Directions to “ DR. CLAUDIO SMUCLOVISKY MD PHD” Practice Location

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