Individual provider · Type 1 NPI

Thomas E. Nicholas, DC

Chiropractor · Port Orange, FL

NPI number 1629160403 Active

Practice location

4705 S Clyde Morris Blvd
Port Orange, FL 32129-4103

Call (386) 763-2718 Map

Mailing address

175 Westhampton Dr
Palm Coast, FL 32164-4016

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH8810 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1629160403

Thomas E. Nicholas, DC's National Provider Identifier is 1629160403, issued on Sep 29, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Orange, FL. The record was last updated on Jul 8, 2007.