Provider Demographics
NPI:1760602999
Name:LAPLUME, MARIO OLIVERIO (MD,MPH, DR PH)
Entity Type:Individual
Prefix:DR
First Name:MARIO
Middle Name:OLIVERIO
Last Name:LAPLUME
Suffix:
Gender:M
Credentials:MD,MPH, DR PH
Other - Prefix:DR
Other - First Name:MARIO
Other - Middle Name:OLIVERIO
Other - Last Name:LAPLUME GARBARINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH, DR PH
Mailing Address - Street 1:PO BOX 402009
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-0009
Mailing Address - Country:US
Mailing Address - Phone:305-460-2259
Mailing Address - Fax:
Practice Address - Street 1:861 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-3703
Practice Address - Country:US
Practice Address - Phone:305-857-9800
Practice Address - Fax:305-857-9802
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-30
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME48489208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC74475Medicare UPIN
FL12716Medicare ID - Type Unspecified