Individual
DR. GENNARO SELVAGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960 (M851), MIAMI, FL 33136-1005
(305) 243-6358
Mailing address
1611 NW 12TH AVE, BOX 016960 (M851), MIAMI, FL 33136-1005
(305) 243-6358
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
ME82957
FL
208600000X
Surgery Physician
ME82957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2671492-00
—
FL
Enumeration date
07/24/2006
Last updated
08/22/2023
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