Individual
NICHOLAS SAMUEL TESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3501 HEALTH CENTER BLVD, BONITA SPRINGS, FL 34135-8127
(239) 949-6160
Mailing address
3501 HEALTH CENTER BLVD, BONITA SPRINGS, FL 34135-8127
(239) 949-6160
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT28685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT28685
LICENSE NUMBER
FL
Enumeration date
05/13/2014
Last updated
05/13/2014
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