Nichols, David S

Nichols, David S is an individual health care provider with primary practice located at 403 Vonderburg Dr Ste 101, Brandon FL 33511-5982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Nichols, David S can be contacted via phone (813) 681-1122.

Contact Information

Primary practice address
403 Vonderburg Dr Ste 101 Brandon FL 33511-5982
Phone: (813) 681-1122
Fax: (813) 684-4924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0043731 Florida

Profile Details

NPI number 1154328920
LBN Legal business name Nichols, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Sep 7th, 2016 - about 8 years ago

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 1154328920 NPPES
New York Other 0049901 GHI
New York Other 4091614 GHI
New York Other 0805216 GHI
New York Other 30744 GHI
New York Other 2074201 GHI

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