Socarras, Nicole Marlene

Socarras, Nicole Marlene is an individual health care provider with primary practice located at 15077 S Dixie Hwy , Palmetto Bay FL 33176-7930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Socarras, Nicole Marlene can be contacted via phone (786) 293-3200.

Contact Information

Primary practice address
15077 S Dixie Hwy Palmetto Bay FL 33176-7930
Phone: (786) 293-3200
Fax: (305) 232-9082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9112969 Florida

Profile Details

NPI number 1003432063
LBN Legal business name Socarras, Nicole Marlene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2020
Last updated Dec 23rd, 2020 - 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 1003432063 NPPES
Florida MEDICAID 108412700

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