Iannotti, Nicholas Oswald
Iannotti, Nicholas Oswald is an individual health care provider with primary practice located at 1871 Se Tiffany Ave Suite 100, Port St Lucie FL 34952-7585. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Iannotti, Nicholas Oswald can be contacted via phone (772) 335-5666.Contact Information
Primary practice address
1871 Se Tiffany Ave Suite 100
Port St Lucie FL 34952-7585
Phone: (772) 335-5666
Fax: (772) 335-4826
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 0054918 | Florida |
Profile Details
NPI number | 1154360642 |
---|---|
LBN Legal business name | Iannotti, Nicholas Oswald |
Credentials | MD, FACP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2006 |
Last updated | Jun 15th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154360642 | NPPES |
Florida | Other | 08210 | BLUE CROSS BLUE SHIELD |
Florida | Other | 830003199 | BLUE CROSS BLUE SHIELD |
Florida | Other | 0054918 | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 064733100 | BLUE CROSS BLUE SHIELD |
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