| Mr Michael Nichols, AA-C | |
|
3200 S University Dr, Davie, FL 33328-2018 | |
| (954) 262-1255 | |
| (954) 262-1181 |
| Full Name | Mr Michael Nichols |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 3200 S University Dr, Davie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154357382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA5 (Florida) | Primary |
| Entity Name | Anesthesia Associates Of Gainesville, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457456485 PECOS PAC ID: 2769381771 Enrollment ID: O20040108000009 |
| Entity Name | Physician Specialists In Anesthesia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316968662 PECOS PAC ID: 9830170059 Enrollment ID: O20040525000912 |
| Entity Name | Ambulatory Anesthesia Of North Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497870562 PECOS PAC ID: 9931121332 Enrollment ID: O20051229000181 |
| Entity Name | North Atlanta Anesthesia Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Nichols, AA-C 3200 S University Dr, Davie, FL 33328-2018 Ph: (954) 262-1255 | Mr Michael Nichols, AA-C 3200 S University Dr, Davie, FL 33328-2018 Ph: (954) 262-1255 |
Christina John, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3301 College Ave, Davie, FL 33314 Phone: 800-541-6682 | |
Kelly Van Truong, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3476 S University Dr, Davie, FL 33328 Phone: 954-475-4400 | |
Noah Stapleton, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 3401 S University Dr, Davie, FL 33328 Phone: 954-262-1255 | |
Milan Iglesias Pereira, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3476 S University Dr, Davie, FL 33328 Phone: 954-475-4400 | |
Noah Aaron Deutsch, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3476 S University Dr, Davie, FL 33328 Phone: 954-475-4346 | |
Shakera Mangaroo, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3476 S University Dr, Davie, FL 33328 Phone: 954-475-4400 |