DR. MARIO CUCCHIARELLA (NPI# 1790756765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790756765 |
| Entity Type | Individual |
| Full Name | DR. MARIO CUCCHIARELLA |
| Credential | M.D. |
| Practice Address |
740 Dunlawton Ave Ste. 200 Port Orange FL 32127-4239 |
| Mailing Address |
Po Box 9671 Daytona Beach FL 32120-9671 |
| Practice Telephone | 3867631000 |
| Practice Fax Number | 3867630507 |
| Mailing Telephone | 3866767130 |
| Mailing Fax Number | 3866767125 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2014-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME0047726 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | VHN | ME0047726 | 01 |
| FL | TRICARE | 1790756765 | 01 |
| FL | 267212000 | 05 | |
| FL | BCBS | 14596 | 01 |
| Street Address |
740 DUNLAWTON AVE STE. 200 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-4239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891790309 | Wesley Jay Driggers | Family Medicine | 740 Dunlawton Ave, Port Orange, FL 32127-4901 | 2005-06-21 |
| 1780013821 | Primecare Acquisition Inc | Non-Pharmacy Dispensing Site | 740 Dunlawton Ave, Suite 100, Port Orange, FL 32127-4239 | 2013-11-08 |
| 1346680311 | Shiwani Singh | Internal Medicine | 740 Dunlawton Ave, Port Orange, FL 32127 | 2013-07-05 |
| 1689918831 | Laura Ann Duren | Internal Medicine | 740 Dunlawton Ave, Port Orange, FL 32127-4239 | 2012-11-11 |
| 1720386923 | Miguel Andoni Rubio | Pharmacist | 740 Dunlawton Ave, St. 150, Port Orange, FL 32127-4239 | 2011-03-11 |
| 1164546875 | Florida Health Care Plan, Inc | Pharmacy | 740 Dunlawton Ave, Ste 150, Port Orange, FL 32127-4239 | 2007-03-19 |
| 1083717565 | James E Gibbs | Family Medicine | 740 Dunlawton Ave, Port Orange, FL 32127-4239 | 2006-09-07 |
| 1215978010 | Halifax Healthcare Systems Inc | Emergency Medicine | 740 Dunlawton Ave, Suite 100, Port Orange, FL 32127-4901 | 2006-06-10 |
| 1265401095 | Donald White | Family Medicine | 740 Dunlawton Ave, Port Orange, FL 32127-4901 | 2006-03-15 |
| 1821067851 | Carmen A. Serrano-lopez | Legal Medicine | 740 Dunlawton Ave, Port Orange, FL 32127-4901 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376167171 | Atlantic Primary Care Pllc | Internal Medicine | 735 Dunlawton Ave Ste B, Port Orange, FL 32127-9226 | 2020-06-08 |
| 1205498250 | Nikenston Moise | Internal Medicine | 3890 Turtle Creek Dr Ste C, Port Orange, FL 32127-9352 | 2019-06-30 |
| 1780926949 | Atlantic Urgent Care | Internal Medicine | 735 Dunlawton Ave, Port Orange, FL 32127-9226 | 2013-03-26 |
| 1952630105 | Hassan Alkhatib | Internal Medicine | 1730 Dunlawton Ave Ste 1, Port Orange, FL 32127-8986 | 2009-12-17 |
| 1457516254 | Haroldo De Carvalho Melo | Internal Medicine | 5535 S Williamson Blvd Ste 722, Port Orange, FL 32128-8311 | 2008-07-22 |
| 1821184664 | Magdy S Nashed | Internal Medicine | 3953 South Nova Road, Port Orange, FL 32127 | 2006-10-05 |
| 1477665990 | Henri H Nammour | Internal Medicine | 3890 Turtlecreek Dr, Port Orange, FL 32129 | 2006-08-31 |
| 1063524577 | Souheil Moussly | Internal Medicine | 3890 Turtle Creek Dr, Port Orange, FL 32129 | 2006-08-31 |
| 1285745224 | Wafik F Makary | Internal Medicine | 4690 S Clyde Morris Blvd, Port Orange, FL 32129-7450 | 2006-08-31 |
| 1134172497 | Robert Morris Harpold | Internal Medicine | 3953 S Nova Rd Ste B, Port Orange, FL 32127-4910 | 2006-05-18 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.