Individual
DR. ALEX VINCENT FUNICELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5996 SW 70TH ST FL 5, SOUTH MIAMI, FL 33143-3540
(305) 284-7655
(305) 284-7763
Mailing address
8060 SANCTUARY DR UNIT 1, NAPLES, FL 34104-5998
(914) 584-8257
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME98852
FL
208600000X
Surgery Physician
Primary
ME98852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115914100
—
FL
Enumeration date
05/31/2007
Last updated
12/14/2023
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