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Contact Information

MICHAEL A FALLUCCO, MD
14540 OLD SAINT AUGUSTINE RD
SUITE 2391
JACKSONVILLE, FL32258-7418
 Phone: 904-262-3372
 Fax: 904-262-3306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL A FALLUCCO · (Male)

NPI Number 1851594436
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2007
Last updated 04/11/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME109463
  • FL Other 14C77 BCBS
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER - (Acute Care)
    800 PRUDENTIAL DR
    JACKSONVILLE, FL 32207
  • ST VINCENT'S MEDICAL CENTER - (Acute Care)
    1 SHIRCLIFF WAY
    JACKSONVILLE, FL 32204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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