SearchFlorida171100000X

Jamin Nichols, AP

NPI 1740461342 · on the registry since 2007 · sole proprietor

Practice

Address
2115 Waverly Pl
Melbourne, FL 32901
Phone
(321) 759-9040
Clinicians at this address
2

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida