MEDICARE: MR. CLAUDIO DE PRISCO MD

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	207R00000X	Internal Medicine Physician	ME85286	FL
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	ME85286	FL

General Provider Information

NPI Number	:	1346233939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CLAUDIO DE PRISCO MD

Provider Business Mailing Address
First Line	:	8200 SW 117TH AVE STE 400
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-4826
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 SW 117TH AVE STE 400
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-4826
Country	:	US
Telephone Number	:	786-293-8353
Fax Number	:	786-293-8480

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	09/21/2021

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Directions to “ MR. CLAUDIO DE PRISCO MD” Practice Location

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