Individual
NICOLE M TODAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
995 MAR WALT DR, FORT WALTON BEACH, FL 32547-6758
(850) 863-7887
(850) 863-0863
Mailing address
PO BOX 850001 DEPT 991, ORLANDO, FL 32885-0991
(800) 248-1639
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS7509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2683863100
—
FL
Enumeration date
08/29/2006
Last updated
09/27/2013
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