Provider Demographics
NPI:1699856211
Name:TOCCI, PAUL E (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:E
Last Name:TOCCI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: MANAGED CARE DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:4800 NE 20TH TER
Practice Address - Street 2:STE. 404
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4510
Practice Address - Country:US
Practice Address - Phone:954-491-4950
Practice Address - Fax:954-776-4437
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2016-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 18600208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL058978100Medicaid
FL92242OtherBLUE CROSS BLUE SHIELD
FL1649578OtherCIGNA
FL1000071OtherGHI
FL1462640OtherGHI
FL0854240OtherAETNA
FLP0003183OtherFLORIDA HEALTHCARE PLUS
FL406343436OtherRAILROAD MEDICARE
FLP984813OtherFREEDOM HEALTH
FL1193499OtherWELLCARE
FL208330OtherAVMED
FLP01731856OtherSIMPLY HEALTHCARE
FLP930642OtherOPTIMUM - FREEDOM PRODUCT
FL058978100Medicaid
FL406343436OtherRAILROAD MEDICARE
FL92242XMedicare PIN