Peddycoart, Michael Nathan

Peddycoart, Michael Nathan is an individual health care provider with primary practice located at 7406 Fullerton St , Jacksonville FL 32256-3552. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Peddycoart, Michael Nathan can be contacted via phone (863) 529-6259.

Contact Information

Primary practice address
7406 Fullerton St Jacksonville FL 32256-3552
Phone: (863) 529-6259
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9227732 Florida

Profile Details

NPI number 1770950420
LBN Legal business name Peddycoart, Michael Nathan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2015
Last updated Jul 2nd, 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 1770950420 NPPES
Florida Other APRN9227732 FL APRN LICENSE
Florida Other RN9227732 FL APRN LICENSE

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