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Nicholas Oswald Iannotti, MD,FACP
Hematology & Oncology Physician in Port St Lucie, Florida
NPI 1154360642

Nicholas Oswald Iannotti is a Hematology & Oncology Physician based in Port St Lucie, FL and is specialized in Hematology & Oncology. Nicholas Oswald Iannotti practices in Port St Lucie, FL and has the professional credentials of MD,FACP. The NPI Number for Nicholas Oswald Iannotti is 1154360642 and holds a License No. 0054918 (Florida).

The current practice location address for Nicholas Oswald Iannotti is 1871 Se Tiffany Ave, Port St Lucie, FL and can be reached out via phone at 772-335-5666 and via fax at 772-335-4826.

Location: 1871 Se Tiffany Ave, Port St Lucie, FL, 34952-7585
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154360642
Provider Name
Nicholas Oswald Iannotti
Credential
MD,FACP
Provider Entity Type
Individual
Gender
Male
Address
1871 Se Tiffany Ave, Port St Lucie, FL, 34952-7585
Phone Number
772-335-5666
Fax Number
772-335-4826
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08210 01 FL BLUE CROSS BLUE SHIELD
830003199 01 FL RAILROAD MEDICARE
0054918 01 FL STATE LICENSE
064733100 05 FL
institution
Provider Business Practice Location Address Details
Address
1871 Se Tiffany Ave
City
Port St Lucie
State
Florida
Zip
34952-7585
Phone Number
772-335-5666
Fax Number
772-335-4826
person
Provider Business Mailing Address Details
Address
1871 Se Tiffany Ave
City
Port St Lucie
State
Florida
Zip
34952-7585
Phone Number
772-335-5666
Fax Number
772-335-4826
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
0054918 (Florida)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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