Fallieras, Nicholas G

Fallieras, Nicholas G is an individual health care provider with primary practice located at 2818 W Virginia Ave , Tampa FL 33607-6330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fallieras, Nicholas G can be contacted via phone (813) 872-8551.

Contact Information

Primary practice address
2818 W Virginia Ave Tampa FL 33607-6330
Phone: (813) 872-8551
Fax: (813) 871-3708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0021472 Florida

Profile Details

NPI number 1437145513
LBN Legal business name Fallieras, Nicholas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Apr 19th, 2012 - about 14 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 1437145513 NPPES
Florida MEDICAID 035304300

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