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NPI Code Detail

MEDICARE: VINCENT G. COTRONEO M.D.

MEDICARE: VINCENT G. COTRONEO M.D.
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
1174400000XSpecialist0025679FL
22085R0202XDiagnostic Radiology Physician25679FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2300017506OTHERFLRR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1407802945
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT G. COTRONEO M.D.
Provider Business Mailing Address
First Line : PO BOX 1175
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34656-1175
Country : US
Telephone Number : 727-841-8225
Fax Number : 727-846-8549
Provider Business Practice Location Address
First Line : 5539 MARINE PKWY
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-4329
Country : US
Telephone Number : 727-841-8225
Fax Number : 727-846-8549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 01/14/2013

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