Individual
DR. ROMAINE CHARLES NICHOLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2015 JEFFERSON ST, JACKSONVILLE, FL 32206-3531
(904) 588-1800
Mailing address
PO BOX 116304, ATLANTA, GA 30368-6304
(904) 588-1800
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME0056785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059790200
—
FL
Enumeration date
11/18/2005
Last updated
10/20/2011
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