Bagnoli, Nicholas G.
Bagnoli, Nicholas G. is an individual health care provider with primary practice located at 1220 Sligh Blvd , Orlando FL 32806-1108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bagnoli, Nicholas G. can be contacted via phone (407) 210-4251.Contact Information
Primary practice address
1220 Sligh Blvd
Orlando FL 32806-1108
Phone: (407) 210-4251
Fax: (407) 648-0968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | OS7417 | West Virginia |
Profile Details
| NPI number | 1598719411 |
|---|---|
| LBN Legal business name | Bagnoli, Nicholas G. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Feb 1st, 2008 - about 18 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 | 1598719411 | NPPES |
| Florida | Other | 57552 | BCBS |
| Florida | Other | 7848047011 | BCBS |
| Florida | Other | 3123096 | BCBS |
| Florida | MEDICAID | 252446500 | BCBS |
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