Individual
EMILY SAN NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8950 N KENDALL DR STE 607W, MIAMI, FL 33176-2139
(786) 596-1230
(786) 533-9297
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 596-1230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114126
FL
Other
Enumeration date
04/29/2021
Last updated
02/09/2022
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