Nicholson, Cameron Lee

Nicholson, Cameron Lee is an individual health care provider with primary practice located at 22655 Bayshore Rd Ste 110 , Port Charlotte FL 33980-2005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nicholson, Cameron Lee can be contacted via phone (941) 235-4900.

Contact Information

Primary practice address
22655 Bayshore Rd Ste 110 Port Charlotte FL 33980-2005
Phone: (941) 235-4900
Fax: (941) 235-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME102793 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 57.006511 Ohio

Profile Details

NPI number 1932370681
LBN Legal business name Nicholson, Cameron Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2008
Last updated Jun 27th, 2024 - about 6 months 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 1932370681 NPPES
Florida MEDICAID 000452700

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