SearchFlorida101YM0800X

Antwan Nicholas

NPI 1740740216 · on the registry since 2019

Practice

Address
1225 W Beaver St Ste 205
Jacksonville, FL 32204
Phone
(904) 712-3540
Fax
(904) 775-3570
Organisation at this address
Phoenix Cm Inc.
Assistedhealthcare
Lcn Enterprise, Llc
Connect To Care, Llc
New Rulez Academy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2019-03-21

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