| Keith Cameron Nichols, MD | |
|
1096 W Indiantown Rd Ste 100, Jupiter, FL 33458-6855 | |
| (561) 222-2200 | |
| (561) 222-2201 |
| Full Name | Keith Cameron Nichols |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 42 Years |
| Location | 1096 W Indiantown Rd Ste 100, Jupiter, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538194766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | ME178296 (Florida) | Primary |
| 174400000X | Specialist | 01010406236 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Obici Hospital | Suffolk, VA | Hospital |
| Sentara Leigh Hospital | Norfolk, VA | Hospital |
| Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aqua Dermatology Of Florida, Pa | 1153390414 | 183 |
| Center For Vein Restoration Md Llc | 8729022736 | 29 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Cameron Nichols, MD 900 Village Square Xing Ste 290, Palm Beach Gardens, FL 33410-4552 Ph: (239) 313-2517 | Keith Cameron Nichols, MD 1096 W Indiantown Rd Ste 100, Jupiter, FL 33458-6855 Ph: (561) 222-2200 |
Dr. Allyson Deziel, MD Surgery Medicare: Medicare Enrolled Practice Location: 641 University Blvd Ste 103, Jupiter, FL 33458 Phone: 561-776-2830 | |
Meshach P Cober, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 658 W Indiantown Rd Ste 212, Jupiter, FL 33458 Phone: 561-247-4575 Fax: 561-747-9633 | |
Bassam Sayegh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 224 Chimney Corner Ln, Suite #1026, Jupiter, FL 33458 Phone: 561-743-7766 Fax: 561-744-6020 | |
Dr. Jason Scott Cooper, MD Surgery Medicare: Medicare Enrolled Practice Location: 3535 Military Trl, #204, Jupiter, FL 33458 Phone: 561-406-6574 Fax: 561-203-2769 | |
Dr. Dana Marie Goldberg, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 224 Chimney Corner Ln, Suite 1002, Jupiter, FL 33458 Phone: 561-691-8088 Fax: 561-328-9683 | |
Dr. Fred Silvestri, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2055 Military Trl Ste 305, Jupiter, FL 33458 Phone: 561-318-7895 Fax: 561-729-0874 | |
Barry Marc Miskin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Jupiter Lakes Blvd Ste 3105, Jupiter, FL 33458 Phone: 561-745-7789 Fax: 561-755-8745 |