Individual
DR. JOSE N NATIVI NICOLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
MED-PHYS-LIC-11981
MT
207RC0000X
Cardiovascular Disease Physician
70238631205
UT
207RC0000X
Cardiovascular Disease Physician
Primary
ME151126
FL
207RI0011X
Interventional Cardiology Physician
MED-PHYS-LIC-11981
MT
Other
Enumeration date
07/03/2008
Last updated
07/14/2021
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