Michael Joseph Cavallo, NRP
Emergency Medical Technician, Paramedic in Fort Bragg, NC. Individual provider (NPI-1).
NPI number1477295137
StatusActive
Last updated in NPPESApr 12, 2022
Details
- NPI
- 1477295137
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Joseph Cavallo
- Credential
- NRP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2022
- Certification date
- Mar 28, 2022
- Last updated
- Apr 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146L00000X | Emergency Medical Technician, Paramedic | 8642-2072-8538 | NC | Yes |
Practice location
1900 Lamont RoadFort Bragg, NC 28307
Phone 910-643-1414
Mailing address
1900 Lamont RoadFort Bragg, NC 28307
Phone 910-643-1414
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