James T Nichols
Family Doctor
1315 Garden St
Titusville
, Florida 32796-3312
James T Nichols
Family Doctor
1315 Garden St
Titusville
, Florida 32796-3312
(321) 268-0668
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- James T Nichols
- 1315 Garden St
- Titusville, FL
- Zip : 32796-3312
- Fax : (321) 268-0668
- Phone : (321) 268-0128
Second Address
- James T Nichols
- 1315 Garden St
- Titusville, FL
- Zip : 32796-3312
- Fax : (321) 268-0668
- Phone : (321) 268-0128
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | ME30371 | FL |
National Provider Identifier
| NPI | 1003842048 |
|---|---|
| Provider Name | James T Nichols |
| First Address | Titusville, FL 32796-3312 |
| Second Address | Titusville, FL 32796-3312 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 05396 | BLUE SHIELD (01) | FL |
| D51271 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.