| James Thomas Nichols Jr Md Pa | |
|
1315 Garden St Titusville FL 32796-3312 | |
| (321) 268-0128 | |
| (321) 268-0668 |
| Full Name | James Thomas Nichols Jr Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1315 Garden St, Titusville, Florida |
| Authorized Official Name and Position | James T Nichols (OWNER) |
| Authorized Official Contact | 3212680128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Thomas Nichols Jr Md Pa 1315 Garden St Titusville FL 32796-3312 Ph: (321) 268-0128 | James Thomas Nichols Jr Md Pa 1315 Garden St Titusville FL 32796-3312 Ph: (321) 268-0128 |
| NPI Number | 1710203112 |
|---|---|
| Provider Enumeration Date | 04/12/2010 |
| Last Update Date | 04/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710203112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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