Individual
NICHOLAS GOPAL RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0023
Mailing address
19535 NW 226TH TER, HIGH SPRINGS, FL 32643-0664
(352) 215-5081
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118366900
—
FL
Enumeration date
05/31/2023
Last updated
06/16/2023
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