MEDICARE: DR. GENNARO SAGLIOCCA 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	207RN0300X	Nephrology Physician	ME0053712	FL

General Provider Information

NPI Number	:	1720037054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GENNARO SAGLIOCCA MD

Provider Business Mailing Address
First Line	:	2000 CONTINENTAL DR
Second Line	:	SUITE B
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3207
Country	:	US
Telephone Number	:	561-845-2680
Fax Number	:	561-845-2637

Provider Business Practice Location Address
First Line	:	2000 CONTINENTAL DR
Second Line	:	SUITE B
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3207
Country	:	US
Telephone Number	:	561-845-2680
Fax Number	:	561-845-2637

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	10/19/2007

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