Search › Florida › 363A00000X
Nicole Fifer, PAC
NPI 1861404899 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1400 Bishop Estates Rd
Jacksonville, FL 32259 - Phone
- (904) 287-2794
- Fax
- (904) 287-5362
- Organisation at this address
- Fruit Cove Family Medicine P A
Medical Diagnostic Center Of JacksonvilleInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 1633 Race Track Rd, Saint Johns, FL
- 1324 N. Sheridan Rd., Waukegan, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
363A00000X - Licence states on file
- LA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-31
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