Individual
DR. TJ MCNICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 OLD CAMP RD STE 114, THE VILLAGES, FL 32162-5605
(352) 259-4322
Mailing address
29116 RIVERGATE RUN, WESLEY CHAPEL, FL 33543-6546
(813) 293-6009
(813) 388-6650
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME100254
FL
Other
Enumeration date
11/13/2008
Last updated
03/17/2018
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