Individual
DR. SCOTT NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 S ANDREWS AVE, BROWARD GENERAL PEDIATRIC DEPT., FT LAUDERDALE, FL 33316-2510
(954) 355-4400
Mailing address
360 190TH ST, SUNNY ISLES BEACH, FL 33160-2328
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME82822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E8575
MEDICARE CORE
FL
Enumeration date
09/21/2005
Last updated
06/04/2013
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