Provider Demographics
NPI:1528032273
Name:RONCAL, NOEL OSCAR (MD)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:OSCAR
Last Name:RONCAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7905 PRESERVE CIR
Mailing Address - Street 2:UNIT 131
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-6707
Mailing Address - Country:US
Mailing Address - Phone:239-513-1956
Mailing Address - Fax:239-513-1956
Practice Address - Street 1:7905 PRESERVE CIR
Practice Address - Street 2:UNIT 131
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-6707
Practice Address - Country:US
Practice Address - Phone:239-513-1956
Practice Address - Fax:239-513-1956
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME97796207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16729OtherBCBS
FL000799600Medicaid
FLAF141YMedicare PIN