Individual
FRANCESCA NICOLOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 399-6111
Mailing address
18167 US HIGHWAY 19 N STE 650, CLEARWATER, FL 33764-6576
(800) 507-8874
(727) 536-2896
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003161169A
—
GA
05
—
009927400
—
FL
Enumeration date
07/31/2013
Last updated
09/22/2015
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