Dr Nickolas John Collucci, DO is a
Phlebology physician based in Palm Coast, Florida. Dr Nickolas John Collucci is licensed to practice in Florida (license number OS4153) and his current practice location is 21 Hospital Dr, Suite 260, Palm Coast, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 586-5344.
NPI number for Dr Nickolas John Collucci is 1811915747 and his current mailing address is Po Box 279, Flagler Beach, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811915747.
Physician's Profile
| Full Name | Dr Nickolas John Collucci |
|---|
| Gender | Male |
|---|
| Speciality | Phlebology |
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| Location | 21 Hospital Dr, Palm Coast, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811915747
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 04/21/2010
Medical Identifiers
Medical identifiers for Dr Nickolas John Collucci such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811915747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | OS4153 (Florida) | Secondary |
| 202K00000X | Phlebology | OS4153 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nickolas John Collucci is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nickolas John Collucci, DO
Po Box 279,
Flagler Beach, FL 32136-0279
Ph: (386) 586-5344 | Dr Nickolas John Collucci, DO
21 Hospital Dr, Suite 260,
Palm Coast, FL 32164-2452
Ph: (386) 586-5344 |
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