Nias, Michael Fitzroy

Nias, Michael Fitzroy is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Nias, Michael Fitzroy can be contacted via phone (352) 265-5404.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 265-5404
Fax: (352) 392-9887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC303213 District of Columbia
Behavioral Health & Social Service Providers / Social Worker 104100000X SW10465 Florida

Profile Details

NPI number 1548448251
LBN Legal business name Nias, Michael Fitzroy
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2008
Last updated Dec 12th, 2011 - about 15 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 1548448251 NPPES
District of Columbia Other LC303213 SOCIAL WORK LICENSE

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