Agresti, Nicholas J.

Agresti, Nicholas J. is an individual health care provider with primary practice located at 3 Shircliff Way Ste 400 , Jacksonville FL 32204-4780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Agresti, Nicholas J. can be contacted via phone (904) 381-9393.

Contact Information

Primary practice address
3 Shircliff Way Ste 400 Jacksonville FL 32204-4780
Phone: (904) 381-9393
Fax: (904) 381-9314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME115292 Florida

Profile Details

NPI number 1669634010
LBN Legal business name Agresti, Nicholas J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2008
Last updated Sep 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669634010 NPPES
Florida MEDICAID 111490100
Florida MEDICAID 003126825G

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