Individual
NIKOLAS CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11401 SW 49TH PL, FORT LAUDERDALE, FL 33330-2806
(786) 356-5035
Mailing address
11401 SW 49TH PL, FORT LAUDERDALE, FL 33330-2806
(786) 356-5035
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11027933
FL
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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