Individual
NICHOLAS FATOLITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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