Luis Vaccarello
Gynecologic Oncologist
3100 Plaza Properties Blvd
Columbus
, Ohio 43219-1531
Luis Vaccarello
Gynecologic Oncologist
3100 Plaza Properties Blvd
Columbus
, Ohio 43219-1531
(239) 785-3200
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Luis Vaccarello
- 9160 Forum Corporate Pkwy Ste 350
- Fort Myers, FL
- Zip : 33905-7808
- Phone : (239) 785-3200
Second Address
- Luis Vaccarello
- 3100 Plaza Properties Blvd
- Columbus, OH
- Zip : 43219-1531
- Fax : (614) 383-6001
- Phone : (614) 383-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 35063432 | OH |
National Provider Identifier
| NPI | 1225034622 |
|---|---|
| Provider Name | Luis Vaccarello |
| First Address | Fort Myers, FL 33905-7808 |
| Second Address | Columbus, OH 43219-1531 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2005 |
| Last Update Date | 28/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0879367 | (05) | OH |
| 35063432 | STATE MEDICAL LICENSE (01) | OH |
| F28785 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.