Fuoco, Glenn S

Fuoco, Glenn S is an individual health care provider with primary practice located at 4600 4Th St N , St Petersburg FL 33703-3802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Fuoco, Glenn S can be contacted via phone (727) 527-5272.

Contact Information

Primary practice address
4600 4Th St N St Petersburg FL 33703-3802
Phone: (727) 527-5272
Fax: (727) 522-7412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS8395 Florida

Profile Details

NPI number 1912989625
LBN Legal business name Fuoco, Glenn S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jan 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912989625 NPPES
Florida Other 7577351 AETNA
Florida Other LE437 AETNA
Florida Other 17074 AETNA
Florida Other 284022 AETNA
Florida Other 250014036 AETNA

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