Provider Demographics
NPI:1063483238
Name:SOSSI, NUNZIO P (MDPHD)
Entity type:Individual
Prefix:
First Name:NUNZIO
Middle Name:P
Last Name:SOSSI
Suffix:
Gender:
Credentials:MDPHD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:550 HERITAGE DR STE 105
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3030
Mailing Address - Country:US
Mailing Address - Phone:561-444-0094
Mailing Address - Fax:561-318-7970
Practice Address - Street 1:550 HERITAGE DR STE 105
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3030
Practice Address - Country:US
Practice Address - Phone:561-444-0094
Practice Address - Fax:561-318-7970
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60169207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL054505800Medicaid
FL0801307OtherEVERCARE/UNITEDHEALTHCARE
51198OtherCOVENTRY
910142OtherBEECH STREET
FL12288OtherBCBS OF FL
5322OtherDIMENSION HEALTHCARE
0004201207OtherAETNA US HEALTHCARE
1329328OtherCIGNA
FL180017193OtherRAILROAD MEDICARE
321739OtherUNITED HEALTHCARE
910142OtherBEECH STREET
0004201207OtherAETNA US HEALTHCARE
FL180017193OtherRAILROAD MEDICARE