Individual
MR. MIKE LYNN NICKLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5115 US HIGHWAY 27 N STE 100, SEBRING, FL 33870-1323
(863) 385-2222
(863) 382-8765
Mailing address
5115 US HIGHWAY 27 N STE 100, SEBRING, FL 33870-1323
(863) 385-2222
(863) 382-8765
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 1259332
FL
Other
Enumeration date
10/15/2012
Last updated
01/05/2023
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