Individual
MS. NIKOL WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5890
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
0101237548
VA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME138614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010170460
—
VA
Enumeration date
04/08/2006
Last updated
02/06/2019
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