Nicholas J Angelastro
Emergency Physician General Practice Physician
1511 Tamiami Trl S
Venice
, Florida 34285-5578
Nicholas J Angelastro
Emergency Physician General Practice Physician
1511 Tamiami Trl S
Venice
, Florida 34285-5578
(941) 218-6813
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About
Features
Specialties
- Emergency Physician
- General Practice Physician
Languages spoken
- English
Location
First Address
- Nicholas J Angelastro
- 3604 Torrey Pines Blvd
- Sarasota, FL
- Zip : 34238-2827
- Fax : (941) 218-6813
- Phone : (941) 218-6839
Second Address
- Nicholas J Angelastro
- 1511 Tamiami Trl S
- Venice, FL
- Zip : 34285-5578
- Fax : (941) 218-6813
- Phone : (941) 218-6839
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | OS7504 | FL |
| Y | 208D00000X | General Practice Physician | OS7504 | FL |
National Provider Identifier
| NPI | 1033193222 |
|---|---|
| Provider Name | Nicholas J Angelastro |
| First Address | Sarasota, FL 34238-2827 |
| Second Address | Venice, FL 34285-5578 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2005 |
| Last Update Date | 03/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 253150000 | (05) | FL |
| 57574 | BLUE CROSS BLUE SHIELD (01) | FL |
| F37916 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.