Individual
DR. MICHAEL JOHN NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 SOUTH ASHLEY DRIVE, SUITE 1500, TAMPA, FL 33602-5318
(813) 899-6220
(813) 985-8006
Mailing address
100 S ASHLEY DR STE 1500, TAMPA, FL 33602-5318
(813) 899-6220
(813) 985-8006
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
D0068429
MD
2085B0100X
Body Imaging Physician
Primary
ME117274
FL
2085R0202X
Diagnostic Radiology Physician
75596
TN
2085R0202X
Diagnostic Radiology Physician
MD439508
PA
2085R0202X
Diagnostic Radiology Physician
ME117274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010165200
—
FL
Enumeration date
01/10/2008
Last updated
11/14/2025
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