MEDICARE: ROBERT B CONTRUCCI D O P A

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	207Y00000X	Otolaryngology Physician

General Provider Information

NPI Number	:	1407981830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT B CONTRUCCI D O P A

Provider Business Mailing Address
First Line	:	1172 S DIXIE HWY
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2918
Country	:	US
Telephone Number	:	855-368-6673
Fax Number	:	954-437-6252

Provider Business Practice Location Address
First Line	:	10071 PINES BLVD
Second Line	:	SUITE C
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-6181
Country	:	US
Telephone Number	:	954-437-5333
Fax Number	:	954-437-6252

Authorized Official
Title or Position	:	REGIONAL PRACTICE MANAGER
Name	:	KATY HERNANDEZ
Credential	:
Telephone Number	:	855-368-6673

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	01/13/2026

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