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1437168929 NPI number — PEDRO A MARCUCCI MD

NPI Number: 1437168929
Health Care Provider/Practitioner: PEDRO A MARCUCCI MD

Information about “1437168929” NPI (PEDRO A MARCUCCI MD) exists in 1437168929 in HTML format HTML  |  1437168929 in plain Text format TXT  |  1437168929 in PDF (Portable Document Format) PDF  |  1437168929 in an XML format XML  formats.

NPI Number : 1437168929 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437168929",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARCUCCI",
    "FirstName": "PEDRO",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARCUCCI-LABOY",
    "OtherFirstName": "PEDRO",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2234 COLONIAL BLVD",
    "SecondLineMailingAddress": "MANAGED CARE DEPT.",
    "MailingAddressCityName": "FORT MYERS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33907-1412",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "239-931-7342",
    "MailingAddressFaxNumber": "239-931-7382",
    "FirstLinePracticeLocationAddress": "18900 N TAMIAMI TRL",
    "SecondLinePracticeLocationAddress": "SUITE A12",
    "PracticeLocationAddressCityName": "NORTH FORT MYERS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33903-7312",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "239-458-0168",
    "PracticeLocationAddressFaxNumber": "239-458-3925",
    "EnumerationDate": "08/05/2006",
    "LastUpdateDate": "06/08/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208800000X",
        "TaxonomyName": "Urology Physician",
        "LicenseNumber": "ME86865",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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