Individual
DR. SYDNEY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7955 BAY ST STE 2, SEBASTIAN, FL 32958-3282
(772) 388-9155
(772) 388-9154
Mailing address
7955 BAY ST STE 2, SEBASTIAN, FL 32958-3282
(772) 388-9155
(772) 388-9154
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-35889
KS
208000000X
Pediatrics Physician
Primary
ME153584
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340125
—
SC
Enumeration date
07/02/2008
Last updated
01/31/2024
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