Basic Information
| Provider Information | |||||||||
| NPI: | 1346234978 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NOCERO | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 616 E. ALTAMONTE DRIVE | ||||||||
| Address2: | 202 | ||||||||
| City: | ALTAMONTE SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4077601703 | ||||||||
| FaxNumber: | 4076482259 | ||||||||
| Practice Location | |||||||||
| Address1: | 616 E. ALTAMONTE DRIVE | ||||||||
| Address2: | 202 | ||||||||
| City: | ALTAMONTE SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4077601703 | ||||||||
| FaxNumber: | 4076482259 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/09/2005 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | ME14645 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.