Individual
GEOFFREY NICHOLAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5201
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5201
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11030372
FL
Other
Enumeration date
04/17/2023
Last updated
10/09/2024
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