Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME147366 | FL |
NPI | 1689070906 |
---|---|
Provider Name | Dr. Ettore Vulcano |
First Address | Miami Beach, FL 33140-2818 |
Second Address | Miami Beach, FL 33140-2818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2014 |
Last Update Date | 25/06/2021 |