Nichols, Scott
Nichols, Scott is an individual health care provider with primary practice located at 1600 S Andrews Ave Broward General Pediatric Dept., Ft Lauderdale FL 33316-2510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nichols, Scott can be contacted via phone (954) 355-4400.Contact Information
Primary practice address
1600 S Andrews Ave Broward General Pediatric Dept.
Ft Lauderdale FL 33316-2510
Phone: (954) 355-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME82822 | Florida |
Profile Details
| NPI number | 1013903483 |
|---|---|
| LBN Legal business name | Nichols, Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Jun 4th, 2013 - about 13 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 | 1013903483 | NPPES |
| Florida | Other | E8575 | MEDICARE CORE |
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1600 S Andrews Ave Broward General Peds Ed, Ft Lauderdale FL 33316-2510