MEDICARE: MICHAEL ROCCO AIELLO DO

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	208VP0014X	Interventional Pain Medicine Physician	OS20010	FL

General Provider Information

NPI Number	:	1710448659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ROCCO AIELLO DO

Provider Business Mailing Address
First Line	:	1500 N UNIVERSITY DR STE 101
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6071
Country	:	US
Telephone Number	:	954-458-1199
Fax Number	:

Provider Business Practice Location Address
First Line	:	7050 NW 4TH ST STE 206
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-2247
Country	:	US
Telephone Number	:	954-458-1199
Fax Number	:	877-207-4010

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

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	02/02/2026

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