Nicole Louis, PHYSICIAN ASSISTANT
NPI #1912467598 in Mangonia Park, Florida
Provider Information
- NPI Number
- 1912467598
- Entity Type
- Individual
- Name
- Nicole Louis, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Mar 21, 2019
- Last Updated
- Oct 26, 2020
Practice Location
- Address
- 901 45TH ST
- City
- Mangonia Park
- State
- Florida
- ZIP Code
- 33407-2413
- Phone
- (561) 844-6300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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