1932652690 NPI number — MR. NICHOLAS BRANDON PRATER COTA/L

Table of content: MR. NICHOLAS BRANDON PRATER COTA/L (NPI 1932652690)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932652690 NPI number — MR. NICHOLAS BRANDON PRATER COTA/L

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PRATER
Provider First Name:
NICHOLAS
Provider Middle Name:
BRANDON
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
COTA/L
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932652690
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/29/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1809 E BROADWAY ST
Provider Second Line Business Mailing Address:
#122
Provider Business Mailing Address City Name:
OVIEDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32765-8597
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-359-5693
Provider Business Mailing Address Fax Number:
407-792-5693

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 W BROADWAY ST
Provider Second Line Business Practice Location Address:
STE #214
Provider Business Practice Location Address City Name:
OVIEDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32765-9260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-359-5693
Provider Business Practice Location Address Fax Number:
407-792-5693
Provider Enumeration Date:
07/29/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X , with the licence number:  OTA 15403 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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