Organization
VEIN TREATMENT CENTER OF PALM COAST P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICKOLAS JOHN COLLUCCI D.O. (PRESIDENT)
(386) 586-5344
Entity
Organization
Contact information
Practice address
21 HOSPITAL DR, SUITE 260, PALM COAST, FL 32164-2452
(386) 586-5344
(386) 586-5450
Mailing address
PO BOX 279, FLAGLER BEACH, FL 32136-0279
(386) 586-5344
(386) 586-5450
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
ME39243
FL
202K00000X
Phlebology Physician
OS4153
FL
207Q00000X
Family Medicine Physician
OS4153
FL
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
ME39243
FL
Other
Enumeration date
04/24/2007
Last updated
02/11/2013
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