Individual
MISS NICOLE JENNIFER SCALLATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2501 N ORANGE AVE, SUITE 442, ORLANDO, FL 32804-4603
(407) 405-0943
Mailing address
2501 N ORANGE AVE, SUITE 442, ORLANDO, FL 32804
(407) 405-0943
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN 9203072
FL
Other
Enumeration date
09/23/2010
Last updated
11/19/2010
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