Nestor, Gregory W

Nestor, Gregory W is an sole proprietor health care provider with primary practice located at 7655 38Th Ave N Suite 202, St Petersburg FL 33710-1263. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Nestor, Gregory W can be contacted via phone (727) 547-0825.

Contact Information

Primary practice address
7655 38Th Ave N Suite 202 St Petersburg FL 33710-1263
Phone: (727) 547-0825
Fax: (727) 547-0523
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME46776 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME46776 Florida

Profile Details

NPI number 1639165863
LBN Legal business name Nestor, Gregory W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Jan 28th, 2016 - about 10 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 1639165863 NPPES
Florida MEDICAID 062643100

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