MEDICARE: NICHOLAS P. CONSTANTINE D. C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH 6877	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679647077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS P. CONSTANTINE D. C.

Provider Business Mailing Address
First Line	:	316 7TH ST W
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34221-5207
Country	:	US
Telephone Number	:	941-729-3730
Fax Number	:	941-723-9097

Provider Business Practice Location Address
First Line	:	316 7TH ST W
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34221-5207
Country	:	US
Telephone Number	:	941-729-3730
Fax Number	:	941-723-9097

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	04/08/2026

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