Individual
NICHOLAS ANTONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 NE 7TH AVE UNIT 1401, MIAMI, FL 33137-4462
(347) 460-7504
Mailing address
3131 NE 7TH AVE UNIT 1401, MIAMI, FL 33137-4462
(347) 735-0165
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
F5653642
MH
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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