Provider Demographics
NPI:1063483238
Name:SOSSI, NUNZIO P (MDPHD)
Entity Type:Individual
Prefix:
First Name:NUNZIO
Middle Name:P
Last Name:SOSSI
Suffix:
Gender:M
Credentials:MDPHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:130 BUTLER ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-6106
Mailing Address - Country:US
Mailing Address - Phone:561-832-6113
Mailing Address - Fax:561-833-3003
Practice Address - Street 1:130 BUTLER ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-6106
Practice Address - Country:US
Practice Address - Phone:561-832-6113
Practice Address - Fax:561-833-3003
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60169207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
51198OtherCOVENTRY
FL12288OtherBCBS OF FL
FL180017193OtherRAILROAD MEDICARE
FL0801307OtherEVERCARE/UNITEDHEALTHCARE
1329328OtherCIGNA
5322OtherDIMENSION HEALTHCARE
321739OtherUNITED HEALTHCARE
FL054505800Medicaid
0004201207OtherAETNA US HEALTHCARE
910142OtherBEECH STREET
910142OtherBEECH STREET
0004201207OtherAETNA US HEALTHCARE
FL180017193OtherRAILROAD MEDICARE