Fatolitis, Nicholas

Fatolitis, Nicholas is an individual health care provider with primary practice located at 14000 Fivay Rd , Hudson FL 34667-7103. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Fatolitis, Nicholas can be contacted via phone (727) 819-2929.

Contact Information

Primary practice address
14000 Fivay Rd Hudson FL 34667-7103
Phone: (727) 819-2929
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN11026912 Florida

Profile Details

NPI number 1659055309
LBN Legal business name Fatolitis, Nicholas
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2023
Last updated Dec 12th, 2023 - about 2 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 1659055309 NPPES
Florida MEDICAID 119184800
Florida Other VWY53

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