Individual
NICOLE GAYNAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T .M.E.S.
Contact information
Practice address
12555 ORANGE DR STE 115, DAVIE, FL 33330-4304
(754) 204-6458
Mailing address
12555 ORANGE DR STE 115, DAVIE, FL 33330-4304
(754) 204-6458
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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