Nicholas, Michael John
Nicholas, Michael John is an individual health care provider with primary practice located at 100 South Ashley Drive Suite 1500, Tampa FL 33602-5318. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Nicholas, Michael John can be contacted via phone (813) 899-6220.Contact Information
Primary practice address
100 South Ashley Drive Suite 1500
Tampa FL 33602-5318
Phone: (813) 899-6220
Fax: (813) 985-8006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | D0068429 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD439508 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ME117274 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME117274 | Florida |
Profile Details
| NPI number | 1942486873 |
|---|---|
| LBN Legal business name | Nicholas, Michael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2008 |
| Last updated | Mar 9th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942486873 | NPPES |
| Florida | MEDICAID | 010165200 |
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