Individual
F NICHOLAS GAHHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 SAN MARCO DR, VENICE, FL 34285
(941) 484-6836
(941) 484-9690
Mailing address
135 SAN MARCO DR, VENICE, FL 34285
(941) 484-6836
(941) 484-9690
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
44686
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689950727
GROUP NPI NUMBER
FL
01
—
1851316772
INDIVIDUAL NPI NUMBER
FL
01
—
240006370
RAILROAD MEDICARE
—
01
—
79878Z
BC/BS PTAN
FL
Enumeration date
07/12/2006
Last updated
11/29/2012
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