Individual
NICHOLAS WILLIAM METAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4000
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 516-5315
(517) 787-7365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN9269658
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9269658
FL
Other
Enumeration date
04/14/2011
Last updated
03/04/2026
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