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Contact Information

NICKOLAS J COLLUCCI, DO
21 HOSPITAL DR
SUITE 260
PALM COAST, FL32164-2452
 Phone: 386-586-5344
 Fax: 386-586-5450
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebology

202K00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for NICKOLAS J COLLUCCI · (Male)

NPI Number 1811915747
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/18/2006
Last updated 04/21/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS4153
Hospital affiliation(s) Not Available
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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