Organization
NICHOLAS D A SUITE MD NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS SUITE (PRESIDENT)
(954) 431-6884
Entity
Organization
Contact information
Practice address
7900 NW 33RD ST STE 101, HOLLYWOOD, FL 33024-2209
(954) 431-6884
Mailing address
7900 NW 33RD ST STE 101, HOLLYWOOD, FL 33024-2209
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME 59343
FL
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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