Individual
NICKALAUS A CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
2600 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL 33544-9207
(813) 929-5116
Mailing address
5011 BALSAM DR, LAND O LAKES, FL 34639-5628
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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