Doctor Name: | NICHOLAS FALCONE |
NPI Number: | 1003248089 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2500 Nw 107th Ave Suite 200 Doral, FL - 331725925 |
Business Phone Number: | 3055973861 |
Business Fax Number: | 3055973863 |
Mailing Address: | 2500 Nw 107th Ave, Suite 200 DORAL |
State: | FL |
Postal Code: | 331725925 |
Phone Number: | 3055973861 |
Fax Number: | 3055973863 |
NPI Enumeration Date: | 08/01/2013 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |