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Individual

DAVID S NICHOLS

Active
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Individual

DAVID S NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0043731
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049901
GHI
NY
01
—
0805216
UNITED HEALTHCARE
FL
01
—
2074201
AETNA
FL
01
—
30744
BCBS FLORIDA
FL
01
—
4091614
AETNA
FL
Enumeration date
07/07/2005
Last updated
09/07/2016
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