Individual
ELIZABETH ANNE NICOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-3564
(305) 243-2009
Mailing address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-3564
(305) 243-2009
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
38013
SC
207Y00000X
Otolaryngology Physician
Primary
ME129291
FL
207Y00000X
Otolaryngology Physician
MT197424
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT197424
PA
Other
Enumeration date
05/17/2010
Last updated
08/16/2016
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