Individual
BRITANNY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-8507
Mailing address
PO BOX 116839, ATLANTA, GA 30368-6839
(781) 280-1694
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107312
FL
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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