Individual
DR. NICHOLAUS JACK HILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5149 N 9TH AVE, PENSACOLA, FL 32504-8779
(850) 416-6303
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
25024
AL
207ZH0000X
Hematology (Pathology) Physician
ME 101330
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
101330
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME101330
FL
Other
Enumeration date
06/07/2007
Last updated
02/11/2016
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