NPI 1811915747

Nickolas John Collucci, DO

Practitioner Phlebology Physician Palm Coast, FL

Practice location

Address: 21 Hospital Dr Suite 260, Palm Coast, FL 32164-2452
Phone: (386) 586-5344
Fax: (386) 586-5450
Mailing address: PO Box 279, Flagler Beach, FL 32136-0279

Registered specialties (2)

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence OS4153 (FL)

Other Phlebology providers in Florida →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence OS4153 (FL)

Other Family Medicine providers in Florida →

Registry record

NPI: 1811915747
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2006
Record last updated: 21 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.