James Thomas Nichols Jr MD PA

NPI #1710203112 in Titusville, Florida

Provider Information

NPI Number
1710203112
Entity Type
Organization
Organization Name
James Thomas Nichols Jr MD PA
Primary Specialty
Family Medicine
Enumeration Date
Apr 12, 2010
Last Updated
Apr 12, 2010

Practice Location

Address
1315 GARDEN ST
State
Florida
ZIP Code
32796-3312
Phone
(321) 268-0128

Authorized Official

Name
JAMES T NICHOLS JR., M.D.
Title
OWNER
Phone
(321) 268-0128

Specialties & Taxonomy Codes

Specialty
Family Medicine

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