Mucci, Wayne

Mucci, Wayne is an sole proprietor health care provider with primary practice located at 2007 Palm Beach Lakes Blvd , West Palm Beach FL 33409-6501. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mucci, Wayne can be contacted via phone (561) 420-8555.

Contact Information

Primary practice address
2007 Palm Beach Lakes Blvd West Palm Beach FL 33409-6501
Phone: (561) 420-8555
Fax: (561) 420-8550
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MB05189600 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS5584 Florida

Profile Details

NPI number 1316947211
LBN Legal business name Mucci, Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Feb 18th, 2017 - about 8 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 1316947211 NPPES
New Jersey Other 4383941 AETNA PPO #
New Jersey Other 0519349000 AETNA PPO #
New Jersey Other 2692811 AETNA PPO #
New Jersey MEDICAID 5009201 AETNA PPO #
New Jersey Other 223762143 AETNA PPO #
New Jersey Other 2K1863 AETNA PPO #
New Jersey Other GLS035 AETNA PPO #

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