DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1033296215

NPI Code Detail

MEDICARE: TANSYLA KEELS NICHOLSON MD

MEDICARE: TANSYLA KEELS NICHOLSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	A83966	CA
2	208000000X	Pediatrics Physician	2026008828	MO
3	208000000X	Pediatrics Physician	ME101521	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033296215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANSYLA KEELS NICHOLSON MD

Provider Business Mailing Address
First Line	:	10140 CENTURION PKWY N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-0532
Country	:	US
Telephone Number	:	904-697-4127
Fax Number	:	904-697-5102

Provider Business Practice Location Address
First Line	:	651 N ALAFAYA TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-7045
Country	:	US
Telephone Number	:	407-273-4132
Fax Number	:	407-273-4725

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	06/11/2026

Similar Medicare Providers

1043274574 — DR. HERA YVONNE NAHAR MD
Practice Location Address:

651 N ALAFAYA TRL , NEMOURS CHILDRENS URGENT CARE
ORLANDO, FL
32828-7045

Practice Phone: 407-273-4132
Practice Fax: 407-273-4725

1912298456 — DR. MONICA R. BARAJAS M.D.
Practice Location Address:

651 N ALAFAYA TRL
ORLANDO, FL
32828-7045

Practice Phone: 407-273-4132
Practice Fax: 407-273-4725

1205276789 — DR. THOMAS B RUFFIN JR. M.D.
Practice Location Address:

651 N ALAFAYA TRL
ORLANDO, FL
32828-7045

Practice Phone: 407-273-4132
Practice Fax: 407-332-5157

1205404761 — NEMOURS CHILDREN'S HEALTH, WATERFORD LAKES, SPECIALTY CARE
Practice Location Address:

651 N ALAFAYA TRL
ORLANDO, FL
32828-7045

Practice Phone: 407-650-7715
Practice Fax:

1700457827 — NEMOURS CHILDREN'S HEALTH, WATERFORD LAKES, URGENT CARE
Practice Location Address:

651 N ALAFAYA TRL
ORLANDO, FL
32828-7045

Practice Phone: 407-650-7715
Practice Fax:

1437810280 — LARISSA MOON APRN
Practice Location Address:

651 N ALAFAYA TRL
ORLANDO, FL
32828-7045

Practice Phone: 407-273-4132
Practice Fax: 407-332-5157

Directions to “ TANSYLA KEELS NICHOLSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.