DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: STEPHEN PETER NICHOLAS M.D.

MEDICARE: STEPHEN PETER NICHOLAS M.D.
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
1207R00000XInternal Medicine PhysicianME140408FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780643742
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN PETER NICHOLAS M.D.
Provider Business Mailing Address
First Line : 1505 53RD AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34203-4249
Country : US
Telephone Number : 941-357-7950
Fax Number : 941-840-1003
Provider Business Practice Location Address
First Line : 1505 53RD AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34203-4249
Country : US
Telephone Number : 941-357-7950
Fax Number : 941-840-1003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 02/11/2021

Similar Medicare Providers

1740282078 — DR. CHRISTOPHER RICHARD OLDRICH DPM
Practice Location Address:
1505 53RD AVE E
BRADENTON, FL
34203-4249
Practice Phone: 941-357-7950
Practice Fax: 941-840-1003
1992803472 — DAWN M. WRIGHT NP-C
Practice Location Address:
1505 53RD AVE E
BRADENTON, FL
34203-4249
Practice Phone: 941-357-7950
Practice Fax: 941-840-1003
1275633786 — BENEDICTA OLAMIDE UDEAGBALA D.O.
Practice Location Address:
1505 53RD AVE E
BRADENTON, FL
34203-4249
Practice Phone: 941-357-7950
Practice Fax:
1063623817 — DR. HEATHER JANE CAPPELLO M.D.
Practice Location Address:
1505 53RD AVE E
BRADENTON, FL
34203-4249
Practice Phone: 941-357-7950
Practice Fax: 941-840-1003
1396931275 — DR. MARISSEL VELAZQUEZ VICENTE MD
Practice Location Address:
1505 53RD AVE E
BRADENTON, FL
34203-4249
Practice Phone: 941-357-7950
Practice Fax:
1326337759 — DR. GUSTAVO A PRADA M.D.
Practice Location Address:
1505 53RD AVE E
BRADENTON, FL
34203-4249
Practice Phone: 941-357-7950
Practice Fax: 941-840-1003

Directions to “ STEPHEN PETER NICHOLAS M.D.” 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 © 2007-2025 (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.