Organization
NICOLE BASILE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ANN BASILE MD (OWNER)
(561) 475-5700
Entity
Organization
Contact information
Practice address
1500 N DIXIE HWY STE 304, WEST PALM BEACH, FL 33401-2717
(561) 475-5700
Mailing address
1500 N DIXIE HWY STE 304, WEST PALM BEACH, FL 33401-2717
(561) 475-5700
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/20/2018
Last updated
01/30/2023
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