Individual
DR. NICHOLAS LARICCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14551 HOPE CENTER LOOP STE 100, FORT MYERS, FL 33912-4705
(239) 936-2316
(239) 834-6106
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(392) 936-2316
(239) 834-6106
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
87931
SC
2085R0202X
Diagnostic Radiology Physician
Primary
ME164606
FL
Other
Enumeration date
04/23/2017
Last updated
01/08/2024
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