Individual
NICHOLAS J CONNORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1641 TAMIAMI TRL, SUITE 1, PORT CHARLOTTE, FL 33948-1042
(941) 629-6262
(941) 629-1782
Mailing address
1641 TAMIAMI TRL, SUITE 1, PORT CHARLOTTE, FL 33948-1042
(941) 629-6262
(941) 629-1782
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME67867
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME0067867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257697000
—
FL
01
—
68789
BCBS
FL
Enumeration date
07/08/2005
Last updated
03/29/2012
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