Macuga, Michael J

Macuga, Michael J is an individual health care provider with primary practice located at 2500 Harbor Blvd , Port Charlotte FL 33952-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Macuga, Michael J can be contacted via phone (941) 766-4122.

Contact Information

Primary practice address
2500 Harbor Blvd Port Charlotte FL 33952-5000
Phone: (941) 766-4122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01040789A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME99841 Florida

Profile Details

NPI number 1750351748
LBN Legal business name Macuga, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Apr 14th, 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 1750351748 NPPES
Florida Other ME99841 MEDICAL LICENSE
Florida Other 930115712 MEDICAL LICENSE
Florida MEDICAID 100387830 MEDICAL LICENSE
Florida Other 90001082 MEDICAL LICENSE
Florida Other 000000223685 MEDICAL LICENSE
Florida MEDICAID 036055469 MEDICAL LICENSE

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