Individual
GREGORY NIKOLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3650 NW 82ND AVE STE 201, DORAL, FL 33166-6662
(305) 537-7272
Mailing address
2725 NE 8TH AVE APT 101, WILTON MANORS, FL 33334-2652
(917) 676-8328
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
009749-1
NY
363AS0400X
Surgical Physician Assistant
Primary
9106591
FL
Other
Enumeration date
01/08/2007
Last updated
05/19/2020
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