Organization
KEVIN NICHOLSON LLC
Active
Other names
Doctor 2 Your Door
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANSYLA NICHOLSON MD (MEDICAL DIRECTOR)
(407) 545-9191
Entity
Organization
Contact information
Practice address
1674 PLEASANT HILL RD, KISSIMMEE, FL 34746-3954
(407) 545-9191
(407) 641-8918
Mailing address
PO BOX 407, LOUGHMAN, FL 33858-0407
(407) 545-9191
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME101521
FL
208D00000X
General Practice Physician
ME101521
FL
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up