Individual
GEORGINA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
915 MIDDLE RIVER DR STE 213, FORT LAUDERDALE, FL 33304-3560
(561) 529-5570
(877) 561-5267
Mailing address
915 MIDDLE RIVER DR STE 213, FORT LAUDERDALE, FL 33304-3560
(561) 529-5077
(887) 561-5267
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
175636
CA
208200000X
Plastic Surgery Physician
Primary
ME151972
FL
390200000X
Student in an Organized Health Care Education/Training Program
38436
SC
Other
Enumeration date
04/22/2014
Last updated
06/04/2026
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