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NPI Code Detail

MEDICARE: DR. NICHOLES SEXTON M.D.

MEDICARE: DR. NICHOLES SEXTON 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
1207X00000XOrthopaedic Surgery PhysicianME158980FL
2207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianME158980FL

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 : 1205815594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLES SEXTON M.D.
Provider Business Mailing Address
First Line : 13837 CIRCA CROSSING DR
Second Line :
City : LITHIA
State : FL
Zip : 33547-4382
Country : US
Telephone Number : 813-684-2663
Fax Number : 813-658-6222
Provider Business Practice Location Address
First Line : 13837 CIRCA CROSSING DR
Second Line :
City : LITHIA
State : FL
Zip : 33547-4382
Country : US
Telephone Number : 813-684-2663
Fax Number : 813-658-6222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 02/12/2025

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Directions to “ DR. NICHOLES SEXTON M.D.” Practice Location

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