Healthcare Provider Details

I. General information

NPI: 1346233939
Provider Name (Legal Business Name): CLAUDIO DE PRISCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 09/21/2021
Certification Date: 09/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 SW 117TH AVE STE 400
MIAMI FL
33183-4826
US

IV. Provider business mailing address

8200 SW 117TH AVE STE 400
MIAMI FL
33183-4826
US

V. Phone/Fax

Practice location:
  • Phone: 786-293-8353
  • Fax: 786-293-8480
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME85286
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME85286
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: