Drake, Nicholas M

Drake, Nicholas M is an individual health care provider with primary practice located at 1717 N E St Ste 231 , Pensacola FL 32501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Drake, Nicholas M can be contacted via phone (850) 469-7975.

Contact Information

Primary practice address
1717 N E St Ste 231 Pensacola FL 32501
Phone: (850) 469-7975
Fax: (850) 469-2113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME135482 Florida

Profile Details

NPI number 1023379575
LBN Legal business name Drake, Nicholas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2012
Last updated May 31st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023379575 NPPES
Florida MEDICAID 025013000

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