Nicotra, Marissa
Nicotra, Marissa is an individual health care provider with primary practice located at 5517 S Williamson Blvd Ste 310 , Port Orange FL 32128-8310. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nicotra, Marissa can be contacted via phone (386) 322-4304.Contact Information
Primary practice address
5517 S Williamson Blvd Ste 310
Port Orange FL 32128-8310
Phone: (386) 322-4304
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC6163 | Florida |
Profile Details
| NPI number | 1295461879 |
|---|---|
| LBN Legal business name | Nicotra, Marissa |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2022 |
| Last updated | Jul 27th, 2022 - 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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