| Dante V Nuzzo Md Pa | |
|
26540 Ace Ave Ste H103 Leesburg FL 34748-8279 | |
| (352) 323-4800 | |
| (352) 323-9103 |
| Full Name | Dante V Nuzzo Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 26540 Ace Ave Ste H103, Leesburg, Florida |
| Authorized Official Name and Position | Dante V Nuzzo (OWNER) |
| Authorized Official Contact | 3523234800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dante V Nuzzo Md Pa 27615 Hwy 27 Suite 109 #308 Leesburg FL 34748 Ph: (352) 323-4800 | Dante V Nuzzo Md Pa 26540 Ace Ave Ste H103 Leesburg FL 34748-8279 Ph: (352) 323-4800 |
| NPI Number | 1134437239 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 06/13/2024 |
| Medicare PECOS PAC ID | 7416149851 |
|---|---|
| Medicare Enrollment ID | O20101004001472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134437239 | NPI | - | NPPES |
| 110087595 | Other | FL | RAILROAD MEDICARE |
| 15098 | Other | FL | BCBS OF FLORIDA |
| 370749100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0061619 (Florida) | Primary |
| Provider Name | Dante Vitto Nuzzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073546669 PECOS PAC ID: 8325230766 Enrollment ID: I20101004001498 |
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