Individual
DR. CHARLES TIBERIAS NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
11525 SCARLET IBIS PL, RIVERVIEW, FL 33569-6221
(623) 824-9412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT42148
FL
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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