Individual
JOSEPH NICOTRA
Active
Individual
JOSEPH NICOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0057051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050029598
RAILROAD MEDICARE
—
05
—
062485300
—
FL
01
—
09960
BC BS FL
—
01
—
223500
AMERIGROUP
—
Enumeration date
01/20/2006
Last updated
02/28/2013
Update your record
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