Individual
DR. MARTIN F. NICOLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9776 BONITA BEACH RD SE, #201A, BONITA SPRINGS, FL 34135-4773
(239) 947-3092
(239) 947-1077
Mailing address
4371 VERONICA S SHOEMAKER BLVD, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME80435
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259862100
—
FL
01
—
830006897
RR MEDICARE
FL
Enumeration date
11/25/2005
Last updated
09/13/2012
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