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Individual

ALEXANDER CARL NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 351-7200
Mailing address
3001 SW 24TH AVE APT 1408, OCALA, FL 34471-7834
(317) 979-6464

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9117561
FL

Other

Enumeration date
06/19/2023
Last updated
06/19/2023
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