Individual
NICKY LAMAR NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 MICCOSUKEE RD, HOSPITALIST GROUP, TALLAHASSEE, FL 32308-5054
(850) 431-4996
(850) 431-6315
Mailing address
1300 MICCOSUKEE RD, HOSPITALIST GROUP, TALLAHASSEE, FL 32308-5054
(850) 431-4996
(850) 431-6315
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME64285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262898800
—
FL
Enumeration date
05/05/2006
Last updated
06/23/2010
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