Provider Demographics
NPI:1114044559
Name:MAUCERI, ARTHUR ANGELO (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:ANGELO
Last Name:MAUCERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6831 NW 11TH PL
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4259
Mailing Address - Country:US
Mailing Address - Phone:352-331-3650
Mailing Address - Fax:352-331-6000
Practice Address - Street 1:6831 NW 11TH PL
Practice Address - Street 2:SUITE 2
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4259
Practice Address - Country:US
Practice Address - Phone:352-331-3650
Practice Address - Fax:352-331-6000
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME12375207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01173OtherBCBS
FL215651OtherAVMED
FL215651OtherAVMED
FL01173OtherBCBS