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NPI Code Detail

MEDICARE: NICHOLE KINES

MEDICARE: NICHOLE KINES
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
1106S00000XBehavior TechnicianFL

Other Identifiers

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

General Provider Information

NPI Number : 1285226811
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLE KINES
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PARKWAY
Second Line : SUITE 200
City : LAKE MARY
State : FL
Zip : 32746-3625
Country : US
Telephone Number : 806-610-0580
Fax Number :
Provider Business Practice Location Address
First Line : 13553 ATLANTIC BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32225-4225
Country : US
Telephone Number : 904-420-7030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2021
Last Update Date : 02/04/2021

Similar Medicare Providers

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Practice Location Address:
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1558986885 — JAZMIN WARD
Practice Location Address:
13553 ATLANTIC BLVD
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32225-4225
Practice Phone: 904-420-7030
Practice Fax:
1144826603 — KATIE JOY BOWERMAN
Practice Location Address:
13553 ATLANTIC BLVD UNIT 1000
JACKSONVILLE, FL
32225-4225
Practice Phone: 904-420-7030
Practice Fax:
1154991180 — REESE M MCFARLANE
Practice Location Address:
13553 ATLANTIC BLVD
JACKSONVILLE, FL
32225-4225
Practice Phone: 703-090-4420
Practice Fax: 904-297-4064

Directions to “ NICHOLE KINES ” 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.

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