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Individual

VINCENZO NOVARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 NW 170TH ST, SUITE 102, NORTH MIAMI BEACH, FL 33169-5513
(305) 654-6890
(305) 655-1153
Mailing address
100 NW 170TH ST, SUITE 102, NORTH MIAMI BEACH, FL 33169-5513
(305) 654-6890
(305) 655-1153

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME90971
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10536
BLUE CROSS BLUE SHIELD
FL
01
276727900
PSN
FL
05
276727900
FL
Enumeration date
07/25/2006
Last updated
09/01/2011
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