HECTOR L DI CARLO MD PA NPI 1598146474

NPI Information

NPI: 1598146474
Provider Name: HECTOR L DI CARLO MD PA
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
500 SE 17TH ST
SUITE 110
FORT LAUDERDALE, FL
ZIP 33316
Phone: (954) 533-1173
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HECTOR L DI CARLO MD PA is an adult medicine family medicine in Fort Lauderdale, FL. The provider is definition to come. HECTOR L DI CARLO MD PA NPI is 1598146474. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 SE 17TH ST
SUITE 110
FORT LAUDERDALE, FL
ZIP 33316-547
Phone: (954) 533-1173

The provider's authorized official is Hector Luis Di Carlo .
The authorized official title is President and has the following contact phone number (954) 533-1173.

The enumeration date for this NPI number is 6/16/2015 and was last updated on 11/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	ME102570	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0011234400	MEDICAID	FLORIDA
2	AU052S	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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