Dr. Jose Nicolas Codolosa, MD
Internal Medicine, Cardiovascular Disease in St Petersburg, FL. Individual provider (NPI-1).
NPI number1659570851
StatusActive
Last updated in NPPESApr 12, 2017
Details
- NPI
- 1659570851
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jose Nicolas Codolosa
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2007
- Last updated
- Apr 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | ME121995 | FL | Yes |
Practice location
5398 Park St NSt Petersburg, FL 33709-1041
Phone 727-544-1441 · Fax 757-545-8263
Mailing address
5398 Park St NSt Petersburg, FL 33709-1041
Phone 727-544-1441 · Fax 757-545-8263
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