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NPI Code Detail

MEDICARE: DR. ETTORE VULCANO M.D.

MEDICARE:  DR. ETTORE  VULCANO  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
1174400000XSpecialist
2207XX0004XOrthopaedic Foot and Ankle Surgery PhysicianME147366FL

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 : 1689070906
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ETTORE VULCANO M.D.
Provider Business Mailing Address
First Line : 4302 ALTON RD STE 220
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-2818
Country : US
Telephone Number : 305-674-2090
Fax Number : 305-674-2093
Provider Business Practice Location Address
First Line : 4302 ALTON RD STE 220
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-2818
Country : US
Telephone Number : 305-674-2090
Fax Number : 305-674-2093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2014
Last Update Date : 06/25/2021

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Directions to “ DR. ETTORE VULCANO M.D.” Practice Location

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