Individual
DR. GEORGE K NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3450 11TH CT, SUITE 302A, VERO BEACH, FL 32960-5012
(772) 794-1444
(772) 794-1475
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 794-5611
(772) 794-1450
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME44303
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME0044303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042097200
—
FL
01
—
31160
BC BS
FL
Enumeration date
08/12/2005
Last updated
07/21/2022
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