Individual
DR. LUCIANO TANFULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S ANDREWS AVE, 4TH FLR NICU, FT LAUDERDALE, FL 33316-2510
(954) 355-5870
(954) 355-5872
Mailing address
1600 S ANDREWS AVE, 4TH FLR NICU, FT LAUDERDALE, FL 33316-2510
(954) 355-5870
(954) 355-5872
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME 56384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251451600
—
FL
Enumeration date
05/08/2006
Last updated
12/12/2008
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