MEDICARE: DR. EMANUEL NACCARATO 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
1	207RC0000X	Cardiovascular Disease Physician	ME0053968	FL
2	207R00000X	Internal Medicine Physician	ME53968	FL

General Provider Information

NPI Number	:	1770678179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMANUEL NACCARATO M.D.

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	305-500-2000
Fax Number	:	305-931-1957

Provider Business Practice Location Address
First Line	:	301 NE 167TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-2304
Country	:	US
Telephone Number	:	305-940-0522
Fax Number	:	305-931-1957

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	02/24/2026

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