Individual
DR. NICHOLAS J. AGRESTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1824 KING ST STE 300, JACKSONVILLE, FL 32204-4736
(904) 381-9393
(904) 381-9314
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-7205
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME115292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126825G
—
GA
05
—
111490100
—
FL
Enumeration date
06/26/2008
Last updated
02/26/2026
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