Individual
MICHAEL FIORE AMENDOLA
Active
Individual
MICHAEL FIORE AMENDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101241789
VA
2086S0129X
Vascular Surgery Physician
062462
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005903513A
—
GA
05
—
005903513B
—
GA
05
—
005903513C
—
GA
05
—
005903513D
—
GA
05
—
005903513E
—
GA
05
—
005903513F
—
GA
05
—
005903513G
—
GA
05
—
005903513H
—
GA
Enumeration date
05/22/2007
Last updated
08/02/2011
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