Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | ME40957 | FL |
Y | 208200000X | Surgeon | ME40957 | FL |
Y | 208600000X | Surgeon | ME40957 | FL |
N | 2086S0102X | Surgical Critical Care | ME40957 | FL |
NPI | 1285639898 |
---|---|
Provider Name | Nicholas W Price |
First Address | St Petersburg, FL 33701-4734 |
Second Address | St Petersburg, FL 33701-4734 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 14/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040471300 | (05) | FL |
D54072 | (02) | FL |