Individual
GEORGINA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
950 GLADES RD STE 3A, BOCA RATON, FL 33431-6401
(561) 368-9455
Mailing address
950 GLADES RD STE 3A, BOCA RATON, FL 33431-6401
(561) 368-9455
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
12/12/2024
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