Todar, Nicole M

Todar, Nicole M is an individual health care provider with primary practice located at 995 Mar Walt Dr , Fort Walton Beach FL 32547-6758. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Todar, Nicole M can be contacted via phone (850) 863-7887.

Contact Information

Primary practice address
995 Mar Walt Dr Fort Walton Beach FL 32547-6758
Fax: (850) 863-0863
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X OS7509 Florida

Profile Details

NPI number 1700994795
LBN Legal business name Todar, Nicole M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Sep 27th, 2013 - about 12 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 1700994795 NPPES
Florida MEDICAID 2683863100

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