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NICHOLAS J ANGELASTRO DO

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1033193222

Individual Registrant:
 NICHOLAS J ANGELASTRO DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1511 TAMIAMI TRL S  VENICE, FL 34285-5578 US
Tel: 941-218-6839  Fax: 941-218-6813

Contact information for business:
3604 TORREY PINES BLVD  SARASOTA, FL 34238-2827 US
Tel: 941-218-6839  Fax: 941-218-6813

Registration Information:
NPI: 1033193222
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
FLOS7504
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
FLOS7504

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
253150000FL05
BLUE CROSS BLUE SHIELD57574FL01




HEALTH CARE JOBS FL - Page 1



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