Individual
NICHOLAS FATOLITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 779-6303
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-0483
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11026912
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11026912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119184800
—
FL
01
—
VWY53
BCBS
FL
Enumeration date
06/13/2023
Last updated
10/06/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us