Individual provider · NPI-1

Pedro A Marcucci, MD

Urology · North Fort Myers, FL

NPI number1437168929
StatusActive
Last updated in NPPESJun 8, 2009

Details

NPI
1437168929
Entity type
Individual (NPI-1)
Name
Pedro A Marcucci
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 5, 2006
Last updated
Jun 8, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X UrologyME86865FLYes

Other names

  • Pedro A Marcucci-Laboy (Former Name)

Practice location

18900 N Tamiami Trl
Suite A12
North Fort Myers, FL 33903-7312

Phone 239-458-0168 · Fax 239-458-3925

Mailing address

2234 Colonial Blvd
Managed Care Dept.
Fort Myers, FL 33907-1412

Phone 239-931-7342 · Fax 239-931-7382

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