Mr. Paul Bucolo, MD
Mr. Paul Bucolo, MD is a Family Practice in New Smyrna Beach, Florida. Qualified in 2016, 10 years ago. Practices with North Brevard Medical Support Inc, a 62-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 10
- Licensed in
- FL
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
125 Florida Memorial Pkwy Ste 2200New Smyrna Beach, FL 32168-9309
Phone: (386) 409-6839
Fax: (386) 409-6916
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence ME143433 (FL) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 3476 (FL) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence PA3476 (FL) |
Record details
| NPI number | 1871633719 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | February 8, 2007 |
| Last updated in NPPES | April 10, 2023 |
| Certification date | April 10, 2023 |
| Mailing address | 250 Harrison St, Titusville, FL 32780-5094 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | North Brevard Medical Support Inc — 62 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in New Smyrna Beach
-
Mr. Marc Bryan Hull, PA
1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 · (386) 663-3061
-
Amy Rutherford, PA-C
408 Palmetto St, New Smyrna Beach, FL 32168-7323 · (866) 400-3376