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NPI Code Detail

MEDICARE: DR. ROBERTO RICARDO GALUPPO MONTICELLI M.D

MEDICARE:  DR. ROBERTO RICARDO GALUPPO MONTICELLI  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
12085R0204XVascular & Interventional Radiology PhysicianTP316KY
22085R0202XDiagnostic Radiology PhysicianIP1445KY
32085R0202XDiagnostic Radiology PhysicianME180207FL
42085R0204XVascular & Interventional Radiology Physician54505KY

General Provider Information

NPI Number : 1750725651
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERTO RICARDO GALUPPO MONTICELLI M.D
Provider Business Mailing Address
First Line : 2600 WESTHALL LN STE 4
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7102
Country : US
Telephone Number : 407-200-2355
Fax Number : 407-200-4947
Provider Business Practice Location Address
First Line : 1000 WATERMAN WAY
Second Line :
City : TAVARES
State : FL
Zip : 32778-5266
Country : US
Telephone Number : 352-253-3333
Fax Number : 317-705-5047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2013
Last Update Date : 05/22/2026

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