Individual
MICHAEL R NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1336 CREEKSIDE BLVD, SUITE1, NAPLES, FL 34108-1931
(239) 261-1158
(239) 261-4232
Mailing address
PO BOX 413012, NAPLES, FL 34101-3012
(239) 261-1158
(239) 261-4232
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101277282
VA
207L00000X
Anesthesiology Physician
ME78094
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME78094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257513200
—
FL
01
—
47072
BLUE CROSS/BLUE SHIELD
—
Enumeration date
10/31/2005
Last updated
09/07/2023
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