James Thomas Nichols, MD Valid NPI
Individual provider · General Practice Physician · Mims, FL
- NPI
- 1649476110
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Physician (General Practice)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208D00000X
- License number
- ME122364 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-06-22
- Last updated
- 2015-11-18
Practice location
3635 Pennsylvania Ave
Mims, FL 32754-5114
(321) 289-2204