Anthony P. Nicosia Md Llc
LBN: Anthony P. Nicosia Md Llc
Anthony P. Nicosia Md Llc is an health care organization with primary practice located at 1502 Se Holiday Rd , Port St Lucie FL 34952-5416. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty.
Anthony P. Nicosia Md Llc can be contacted via phone (772) 332-1757, or through Nicosia, Anthony Peter via phone (772) 332-1757.
Contact Information
Primary practice address
1502 Se Holiday Rd
Port St Lucie FL 34952-5416
Phone: (772) 332-1757
Fax: (772) 335-9843
Website:
Authorized official contact:
Name: Nicosia, Anthony Peter Doctor of Medicine (MD)
Phone: (772) 332-1757
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | ||
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ||
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X |
Profile Details
NPI number | 1043589187 |
---|---|
LBN Legal business name | Anthony P. Nicosia Md Llc |
DBA Doing business as | |
Authorized official | Nicosia, Anthony Peter Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 19th, 2011 |
Last updated | Mar 31st, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043589187 | NPPES |
Florida | MEDICAID | 278035600 | |
Florida | Other | 91967 | |
Florida | Other | P00476573 |
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