Gerard A Coluccelli Md Pa

NPI 1477605962 - Ophthalmology - 207W00000X

NPI Details
NPI 1477605962
Enumeration Date 01/17/2007
Last Updated 03/27/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GERARD A GERARD
Position PRESIDENT
Phone (904) 346-3506
Fax (904) 346-0712
Practice Location
1235 SAN MARCO BLVD
401
JACKSONVILLE FL, 32207, US
Phone (904) 346-3506
Fax (904) 346-0712
Business Location
1235 SAN MARCO BLVD
401
JACKSONVILLE FL, 32207, US
Phone (904) 346-3506
Fax (904) 346-0712
Toxanomy
Taxonomy Code 207W00000X
License State Florida
License Number ME39542
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According to our database, Gerard A Coluccelli Md Pa NPI is 1477605962, taxonomy code is 207W00000X and license number is ME39542, license state is located at Florida. Gerard A Coluccelli Md Pa physically located at 1235 San Marco Blvd, Jacksonville FL, 32207. NPI Number 1033115704 has the healthcare provider type.

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1477605962 NPI number is provided on an as is basis without warranty of any kind. 1477605962 is maintained by the National Plan & Provider Enumeration System. The contents of Gerard A Coluccelli Md Pa are for informational purposes only.