Provider Demographics
NPI:1346234978
Name:NOCERO, MICHAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:NOCERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:616 E. ALTAMONTE DRIVE
Mailing Address - Street 2:202
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701
Mailing Address - Country:US
Mailing Address - Phone:407-760-1703
Mailing Address - Fax:407-648-2259
Practice Address - Street 1:616 E. ALTAMONTE DRIVE
Practice Address - Street 2:202
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701
Practice Address - Country:US
Practice Address - Phone:407-760-1703
Practice Address - Fax:407-648-2259
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME14645207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL48766XMedicare PIN
D85839Medicare UPIN
48766XMedicare ID - Type Unspecified
FL48766ZMedicare PIN