Nicholas, Patricia

Nicholas, Patricia is an individual health care provider with primary practice located at 12670 Creekside Ln Ste 202 , Fort Myers FL 33919-3370. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Nicholas, Patricia can be contacted via phone (239) 482-2663.

Contact Information

Primary practice address
12670 Creekside Ln Ste 202 Fort Myers FL 33919-3370
Phone: (239) 482-2663
Fax: (239) 482-7585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005499 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO3946 Florida

Profile Details

NPI number 1174587075
LBN Legal business name Nicholas, Patricia
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Feb 15th, 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 1174587075 NPPES
New York MEDICAID 01904470

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