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Organization
JAMES THOMAS NICHOLS JR MD PA
Active
Organization
JAMES THOMAS NICHOLS JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T NICHOLS JR. M.D. (OWNER)
(321) 268-0128
Entity
Organization
Contact information
Practice address
1315 GARDEN ST, TITUSVILLE, FL 32796-3312
(321) 268-0128
(321) 268-0668
Mailing address
1315 GARDEN ST, TITUSVILLE, FL 32796-3312
(321) 268-0128
(321) 268-0668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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