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Individual

JAMES L NIELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5147 N 9TH AVE STE 318, PENSACOLA, FL 32504-8710
(850) 416-2965
(850) 416-1833
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
H2643
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME65879
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009409040
AL
05
3756050 00
FL
Enumeration date
07/27/2005
Last updated
04/03/2026
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