Provider Demographics
NPI:1770678013
Name:VASCONCELLO, NORMA VITALIA (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:VITALIA
Last Name:VASCONCELLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8224 MILLS DR STE 216
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4805
Mailing Address - Country:US
Mailing Address - Phone:305-200-3992
Mailing Address - Fax:844-798-8917
Practice Address - Street 1:8224 MILLS DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4805
Practice Address - Country:US
Practice Address - Phone:305-200-3992
Practice Address - Fax:844-798-8917
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82032208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics