Kevin Nicholson LLC

Pediatrics Physician · Kissimmee, FL

Organization Active NPI

NPI number 1508209214

Practice location

1674 Pleasant Hill Rd
Kissimmee, FL 34746-3954
Phone
(407) 545-9191
Fax
(407) 641-8918

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NPI record

NPI
1508209214
Entity type
Organization (Type 2)
Enumeration date
April 11, 2013
Last updated
April 11, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X ME101521 FL
General Practice Physician 208D00000X ME101521 FL

Mailing address

PO Box 407
Loughman, FL 33858-0407
Phone
(407) 545-9191

Authorized official

Name
Dr. Tansyla Nicholson, MD
Title
Medical Director
Phone
(407) 545-9191

Other names

  • Doctor 2 Your Door

About Kevin Nicholson LLC

Kevin Nicholson LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1674 Pleasant Hill Rd, Kissimmee, FL 34746-3954. The NPI number 1508209214 was assigned on April 11, 2013 and the record was last updated on April 11, 2013.

Kevin Nicholson LLC lists 2 licenses in the registry: #ME101521 (FL) for Pediatrics Physician; #ME101521 (FL) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Tansyla Nicholson, MD, Medical Director.

Frequently asked questions

What is the NPI number of Kevin Nicholson LLC?

The NPI number is 1508209214.

What is the phone number of Kevin Nicholson LLC?

The phone number listed for the practice location is (407) 545-9191.

Where is Kevin Nicholson LLC located?

1674 Pleasant Hill Rd, Kissimmee, FL 34746-3954.

What is the taxonomy code for Kevin Nicholson LLC?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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