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Contact Information

ROGER J NICOSIA JR, DO
1980 SE OCEAN BLVD.
STUART, FL34996
 Phone: 772-678-7043
 Fax:
 Website: https://pcc-med.com/pcc-of-ocean-blvd
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ROGER J NICOSIA JR · (Male)

NPI # 1548213697
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/18/2006
Last updated 12/17/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS5396
Hospital affiliation(s)
  • MARTIN MEMORIAL MEDICAL CENTER - (Acute Care)
    200 SE HOSPITAL AVE
    STUART, FL 34995
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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