Individual
DR. NICOLE NICOSIA ESPOSITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD # MS 3208, TAMPA, FL 33607-6307
(813) 872-3976
Mailing address
3001 W DR MARTIN LUTHER KING JR BLVD # MS 3208, TAMPA, FL 33607-6307
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
ME102369
FL
207ZP0101X
Anatomic Pathology Physician
ME102369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000129700
—
FL
01
—
68463
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/28/2008
Last updated
10/22/2021
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