MEDICARE: CURRIN NICHOL 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	207P00000X	Emergency Medicine Physician	ME48927	FL
2	207P00000X	Emergency Medicine Physician	C-6460	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	010038992	OTHER	FL	RAILROAD MEDICARE

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
3	94400	OTHER	FL	BCBS OF FL
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013919299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CURRIN NICHOL MD

Provider Business Mailing Address
First Line	:	PO BOX 551014
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33655-1014
Country	:	US
Telephone Number	:	800-476-8646
Fax Number	:	919-382-3210

Provider Business Practice Location Address
First Line	:	5757 N DIXIE HWY
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33334-4135
Country	:	US
Telephone Number	:	800-476-8646
Fax Number	:	919-382-3210

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	11/03/2015

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Directions to “ CURRIN NICHOL MD” Practice Location

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