Collucci, Nickolas John

Collucci, Nickolas John is an individual health care provider with primary practice located at 21 Hospital Dr Suite 260, Palm Coast FL 32164-2452. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Collucci, Nickolas John can be contacted via phone (386) 586-5344.

Contact Information

Primary practice address
21 Hospital Dr Suite 260 Palm Coast FL 32164-2452
Phone: (386) 586-5344
Fax: (386) 586-5450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS4153 Florida
Allopathic & Osteopathic Physicians / Phlebology 202K00000X OS4153 Florida

Profile Details

NPI number 1811915747
LBN Legal business name Collucci, Nickolas John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 21st, 2010 - about 14 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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