Individual
DR. NICHOLO J. SARTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 LEE RD STE 165, WINTER PARK, FL 32789
(407) 975-0410
(407) 975-0413
Mailing address
1801 LEE RD STE 165, WINTER PARK, FL 32789-2127
(407) 975-0410
(407) 975-0413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9801478
NC
207R00000X
Internal Medicine Physician
ME113841
FL
208000000X
Pediatrics Physician
9801478
NC
208000000X
Pediatrics Physician
Primary
ME113841
FL
208M00000X
Hospitalist Physician
ME113841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006567700
—
FL
01
—
1167P
BCBS OF NC
NC
01
—
370016486
RAILROAD MEDICARE
NC
01
—
82667
MEDCOST INSURANCE
NC
05
—
891167P
—
NC
01
—
GP476X
MEDICARE
FL
01
—
ME113841
LICENSE
FL
Enumeration date
12/14/2005
Last updated
07/26/2019
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