Angelastro, Nicholas J
Angelastro, Nicholas J is an individual health care provider with primary practice located at 1511 Tamiami Trl S , Venice FL 34285-5578. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Angelastro, Nicholas J can be contacted via phone (941) 218-6839.Contact Information
Primary practice address
1511 Tamiami Trl S
Venice FL 34285-5578
Phone: (941) 218-6839
Fax: (941) 218-6813
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OS7504 | Florida |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | OS7504 | Florida |
Profile Details
NPI number | 1033193222 |
---|---|
LBN Legal business name | Angelastro, Nicholas J |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 1st, 2005 |
Last updated | Jul 3rd, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033193222 | NPPES |
Florida | Other | 57574 | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 253150000 | BLUE CROSS BLUE SHIELD |
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