Organization Name: | NICHOLAS A. NARDUCCI, DMD, PA. |
NPI Number: | 1194991372 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRYSTAL LOVE LESS (VP OF OPERATIONS) |
Mailing Address: | 9995 Gate Pkwy N Suite 310 Jacksonville |
State: | FL US |
Postal Code: | 322464481 |
Phone Number: | 9046462737 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2008 |
NPI Last Update Date: | 01/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305S00000X |
License Number: | DN15716 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Point of Service |
Taxonomy Specialization: | |
Taxonomy Definition: | This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |