MEDICARE: DR. STEPHEN S NICKSE DC

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	111N00000X	Chiropractor	CH #0007165	FL
2	111N00000X	Chiropractor	CH0007165	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	55540	OTHER	FL	BCBS ID#
2	HCC 2141	OTHER	FL	FL CLINIC LICENSE #
3	CH #0007165	OTHER	FL	FL LICENSE #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	55540	OTHER	FL	BC/BS

General Provider Information

NPI Number	:	1881687374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN S NICKSE DC

Provider Business Mailing Address
First Line	:	10863 PARK BLVD
Second Line	:	SUITE 2
City	:	SEMINOLE
State	:	FL
Zip	:	33772-5423
Country	:	US
Telephone Number	:	727-399-2229
Fax Number	:	727-399-2228

Provider Business Practice Location Address
First Line	:	10863 PARK BLVD
Second Line	:	SUITE 2
City	:	SEMINOLE
State	:	FL
Zip	:	33772-5423
Country	:	US
Telephone Number	:	727-399-2229
Fax Number	:	727-399-2228

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	11/01/2010

Similar Medicare Providers

1902863392 — SUNCOAST PHYSICAL TRAINING & REHABILITATION CENTER INC
Practice Location Address:

10863 PARK BLVD STE 4
SEMINOLE, FL
33772-5423

Practice Phone: 727-571-3222
Practice Fax: 727-573-0332

1851570220 — SEMINOLE CHIROPRACTIC INJURY & WELLNESS CENTER INC
Practice Location Address:

10863 PARK BLVD , SUITE 2
SEMINOLE, FL
33772-5423

Practice Phone: 727-399-2229
Practice Fax: 727-399-2228

1639864424 — ADNAN SHARIFF, INC
Practice Location Address:

10863 PARK BLVD STE A
SEMINOLE, FL
33772-5423

Practice Phone: 727-398-6650
Practice Fax:

1730189267 — RAFAEL M PALAGANAS D.D.S
Practice Location Address:

8201 113TH ST
SEMINOLE, FL
33772-4128

Practice Phone: 727-393-3679
Practice Fax: 727-394-9022

1861494262 — DR. BRUCE P. SMITH M.D.
Practice Location Address:

9555 SEMINOLE BLVD
SEMINOLE, FL
33772-2562

Practice Phone: 727-393-5428
Practice Fax: 727-399-9037

1770579120 — DR. DEBRA FERGUSON HEMSATH M.D.
Practice Location Address:

10011 SEMINOLE BLVD
SEMINOLE, FL
33772-2539

Practice Phone: 727-393-2800
Practice Fax: 727-456-1588

Directions to “ DR. STEPHEN S NICKSE DC” 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.