Organization · Type 2 NPI
Nicholas Mickelson LLC
Dental Clinic/Center · Tampa, FL
NPI number
1679178271
Active
Practice location
13612 W Hillsborough Ave
Tampa, FL 33635-9638
Mailing address
8805 Rustic Trail Ct
Tampa, FL 33635-1557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1679178271
Nicholas Mickelson LLC's National Provider Identifier is 1679178271, issued on Dec 1, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tampa, FL. The record was last updated on Dec 1, 2020.