PAUL BUCOLO

NEW SMYRNA BEACH, FL
NPI1871633719
Professional NamePAUL J. BUCOLO
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME143433)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: FL  3476)
207Q00000X Family Medicine
(Licence: FL  PA3476)
Enumeration Date2007-02-08
Last Update Date2023-04-10
Business Address
Mr. PAUL BUCOLO MD
125 FLORIDA MEMORIAL PKWY STE 2200
NEW SMYRNA BEACH, FL 32168-9309
Phone number: 386-409-6839
Mailing Address
Mr. PAUL BUCOLO MD
250 HARRISON ST
TITUSVILLE, FL 32780-5094
Phone number: 321-268-6868