| Nicole M Bishko Do Pa | |
|
10707 66th St N Suite A Pinellas Park FL 33782-2353 | |
| (727) 544-8300 | |
| (727) 544-8366 |
| Full Name | Nicole M Bishko Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10707 66th St N, Pinellas Park, Florida |
| Authorized Official Name and Position | Nicole Michelle Bishko (PHYSICIAN) |
| Authorized Official Contact | 7275448300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole M Bishko Do Pa 10707 66th St N Suite A Pinellas Park FL 33782-2353 Ph: (727) 544-8300 | Nicole M Bishko Do Pa 10707 66th St N Suite A Pinellas Park FL 33782-2353 Ph: (727) 544-8300 |
| NPI Number | 1154578235 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 08/15/2014 |
| Medicare PECOS PAC ID | 9234294026 |
|---|---|
| Medicare Enrollment ID | O20090211000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154578235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS9969 (Florida) | Primary |
| Provider Name | Nicole M Bishko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982879201 PECOS PAC ID: 9335204122 Enrollment ID: I20090211000146 |
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