Individual
JOHN LEE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10140 DEER RUN FARMS RD, FORT MYERS, FL 33966-1045
(239) 275-4242
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9206598
FL
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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