Bagnoli, Nicholas G.

Bagnoli, Nicholas G. is an individual health care provider with primary practice located at 1220 Sligh Blvd , Orlando FL 32806-1108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bagnoli, Nicholas G. can be contacted via phone (407) 210-4251.

Contact Information

Primary practice address
1220 Sligh Blvd Orlando FL 32806-1108
Phone: (407) 210-4251
Fax: (407) 648-0968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS7417 West Virginia

Profile Details

NPI number 1598719411
LBN Legal business name Bagnoli, Nicholas G.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Feb 1st, 2008 - about 17 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 1598719411 NPPES
Florida Other 57552 BCBS
Florida Other 7848047011 BCBS
Florida Other 3123096 BCBS
Florida MEDICAID 252446500 BCBS

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