Individual
MR. PHILIP CHRISTOPHER NICOTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2673 WESTCOTT CIR, PALM HARBOR, FL 34684-1746
(850) 445-8429
Mailing address
2673 WESTCOTT CIR, PALM HARBOR, FL 34684-1746
(850) 445-8429
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9105548
FL
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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