Nicosia, Anthony Peter

Nicosia, Anthony Peter is an sole proprietor health care provider with primary practice located at 1502 Se Holiday Rd , Port Saint Lucie FL 34952-5416. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Nicosia, Anthony Peter can be contacted via phone (772) 332-1757.

Contact Information

Primary practice address
1502 Se Holiday Rd Port Saint Lucie FL 34952-5416
Phone: (772) 332-1757
Fax: (772) 777-3044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME91689 Florida
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X ME91689 Florida
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME91689 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X ME91689 Florida

Profile Details

NPI number 1396820668
LBN Legal business name Nicosia, Anthony Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Oct 27th, 2016 - about 8 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 1396820668 NPPES
Florida MEDICAID 278035600
Florida MEDICAID 0940704

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