Nicotra, Joseph
Nicotra, Joseph is an individual health care provider with primary practice located at 12511 World Plaza Ln Bldg 50 , Fort Myers FL 33907-3991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nicotra, Joseph can be contacted via phone (239) 939-2622.Contact Information
Primary practice address
12511 World Plaza Ln Bldg 50
Fort Myers FL 33907-3991
Phone: (239) 939-2622
Fax: (239) 939-0151
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME0057051 | Florida |
Profile Details
NPI number | 1659351112 |
---|---|
LBN Legal business name | Nicotra, Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 20th, 2006 |
Last updated | Feb 28th, 2013 - about 11 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 | 1659351112 | NPPES |
Other | 223500 | AMERIGROUP | |
Other | 09960 | AMERIGROUP | |
Other | 050029598 | AMERIGROUP | |
MEDICAID | 062485300 | AMERIGROUP |
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