Individual provider · Type 1 NPI

Nicholas Distefano

Student in an Organized Health Care Education/Training Program · Hollywood, FL

NPI number 1669328027 Active

Practice location

1130 Washington St
Hollywood, FL 33019-1926

Call (954) 699-6395 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669328027

Nicholas Distefano's National Provider Identifier is 1669328027, issued on Mar 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hollywood, FL. The record was last updated on Mar 9, 2026.