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Mr. Paul Bucolo, MD
Family Medicine Physician in New Smyrna Beach, Florida
NPI 1871633719

Paul Bucolo is a Family Medicine Physician based in Titusville, FL. Paul Bucolo practices in New Smyrna Beach, FL and has the professional credentials of MD. The NPI Number for Paul Bucolo is 1871633719 and holds a License No. 3476 (Florida).

The current practice location address for Paul Bucolo is 125 Florida Memorial Pkwy Ste 2200, New Smyrna Beach, FL and can be reached out via phone at 386-409-6839 and via fax at 386-409-6916.

Location: 125 Florida Memorial Pkwy Ste 2200, New Smyrna Beach, FL, 32780-5094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871633719
Provider Name
Paul Bucolo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
125 Florida Memorial Pkwy Ste 2200, New Smyrna Beach, FL, 32780-5094
Phone Number
386-409-6839
Fax Number
386-409-6916
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
290408000 05 FL
institution
Provider Business Practice Location Address Details
Address
125 Florida Memorial Pkwy Ste 2200
City
New Smyrna Beach
State
Florida
Zip
32168-9309
Phone Number
386-409-6839
Fax Number
386-409-6916
person
Provider Business Mailing Address Details
Address
125 Florida Memorial Pkwy Ste 2200
City
New Smyrna Beach
State
Florida
Zip
32168-9309
Phone Number
386-409-6839
Fax Number
386-409-6916
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
PA3476 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
3476 (Florida)
Definition
Definition to come...
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