Nichols, Romaine Charles

Nichols, Romaine Charles is an individual health care provider with primary practice located at 2015 Jefferson St , Jacksonville FL 32206-3531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Nichols, Romaine Charles can be contacted via phone (904) 588-1800.

Contact Information

Primary practice address
2015 Jefferson St Jacksonville FL 32206-3531
Phone: (904) 588-1800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME0056785 Florida

Profile Details

NPI number 1679555270
LBN Legal business name Nichols, Romaine Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Oct 20th, 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 1679555270 NPPES
Florida MEDICAID 059790200

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