Angelastro, Nicholas J

Angelastro, Nicholas J is an individual health care provider with primary practice located at 1511 Tamiami Trl S , Venice FL 34285-5578. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Angelastro, Nicholas J can be contacted via phone (941) 218-6839.

Contact Information

Primary practice address
1511 Tamiami Trl S Venice FL 34285-5578
Phone: (941) 218-6839
Fax: (941) 218-6813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS7504 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS7504 Florida

Profile Details

NPI number 1033193222
LBN Legal business name Angelastro, Nicholas J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 3rd, 2020 - about 6 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 1033193222 NPPES
Florida Other 57574 BLUE CROSS BLUE SHIELD
Florida MEDICAID 253150000 BLUE CROSS BLUE SHIELD

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