Individual provider · NPI-1

Dr. Nicole Michelle Bishko, D. O.

Internal Medicine · Pinellas Park, FL

NPI number1982879201
StatusActive
Last updated in NPPESApr 28, 2008

Details

NPI
1982879201
Entity type
Individual (NPI-1)
Name
Dr. Nicole Michelle Bishko
Credential
D. O.
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 28, 2008
Last updated
Apr 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineOS 9969FLYes

Other names

  • Nicole Michelle Killian (Former Name)

Practice location

8130 66th St
Suite 1
Pinellas Park, FL 33781-2111

Phone 727-544-8300 · Fax 727-544-8366

Mailing address

8130 66th St
Suite 1
Pinellas Park, FL 33781-2111

Phone 727-544-8300 · Fax 727-544-8366

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