Florence, Nicole Ann

Florence, Nicole Ann is an individual health care provider with primary practice located at 320 E Carpenter St , Springfield IL 62702-5185. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Florence, Nicole Ann can be contacted via phone (217) 788-3948.

Contact Information

Primary practice address
320 E Carpenter St Springfield IL 62702-5185
Phone: (217) 788-3948
Fax: (217) 527-3209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036100158 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036100158 Illinois

Profile Details

NPI number 1811983851
LBN Legal business name Florence, Nicole Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Apr 26th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811983851 NPPES
Illinois MEDICAID 036100158

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