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Individual

MR. MICHAEL NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA-C

Contact information

Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-1255
(954) 262-1181
Mailing address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-1255
(954) 262-1181

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA5
FL

Other

Enumeration date
06/22/2006
Last updated
07/08/2007
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