Loo, Nicole Ming Ming

Loo, Nicole Ming Ming is an individual health care provider with primary practice located at 4500 San Pablo Rd S , Jacksonville FL 32224-1865. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is her primary health care specialty. Loo, Nicole Ming Ming can be contacted via phone (904) 953-2000.

Contact Information

Primary practice address
4500 San Pablo Rd S Jacksonville FL 32224-1865
Phone: (904) 953-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Q9419 Texas
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X Q9419 Texas
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X ME150435 Florida

Profile Details

NPI number 1508096025
LBN Legal business name Loo, Nicole Ming Ming
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2009
Last updated May 25th, 2021 - about 4 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 1508096025 NPPES
Texas MEDICAID 364366001

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