Nicholas Angelo Mastromarino
Student in an Organized Health Care Education/Training Program in Tampa, FL. Individual provider (NPI-1).
NPI number1982193363
StatusActive
Last updated in NPPESMay 1, 2018
Details
- NPI
- 1982193363
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Angelo Mastromarino
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2018
- Last updated
- May 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | PSI33142 | FL | Yes |
Practice location
12901 Bruce B Downs BlvdMdc 30
Tampa, FL 33612-4749
Phone 727-460-8949
Mailing address
865 Kriswell CtPalm Harbor, FL 34683-2648
Phone 727-460-8949
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