Doctor Name: | DR. FRANK GUDICELLO |
NPI Number: | 1932589199 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA03128800 |
Business Practice Address: | 9 Spray Rd Key Largo, FL - 330373724 |
Business Phone Number: | 3053948208 |
Business Fax Number: | |
Mailing Address: | 9 Spray Rd, KEY LARGO |
State: | FL |
Postal Code: | 330373724 |
Phone Number: | 3053948208 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2015 |
NPI Last Update Date: | 06/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MA03128800 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |