Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICKOLAS JOHN COLLUCCI, D.O.
ActiveDR. NICKOLAS JOHN COLLUCCI, D.O. is a 202K00000X healthcare provider located in PALM COAST, Florida. NPI 1811915747 is currently active in the NPPES registry. Verify at CMS.
202K00000X · PALM COAST, FL
Registration Details
- NPI Number
- 1811915747
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2006 (20.063883250184 yrs)
- Last Updated
- Apr 21, 2010
- Licenses
-
OS4153 (FL)OS4153 (FL)
Practice Information
- Address
-
21 HOSPITAL DRSUITE 260PALM COAST, FL, 321642452Browse FL providers · Browse ZIP 32164
- Phone
- 3865865344
- Fax
- 3865865450
- Primary Specialty
-
202K00000X
202K00000X
- Additional Specialty
- 202K00000X
Other 202K00000X Providers in PALM COAST, FL
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES I STEIN | MD | 1174545479 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.