KEVIN NICHOLSON LLC

KISSIMMEE, FL
NPI1508209214
Doing Business AsDOCTOR 2 YOUR DOOR
Entity TypeOrganization
Authorized ContactTANSYLA NICHOLSON
Medical Director
407-545-9191
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: FL  ME101521)
Additional Taxonomies208D00000X General Practice
(Licence: FL  ME101521)
Enumeration Date2013-04-11
Last Update Date2013-04-11
Business Address
KEVIN NICHOLSON LLC
1674 PLEASANT HILL RD
KISSIMMEE, FL 34746-3954
Phone number: 407-545-9191
Mailing Address
KEVIN NICHOLSON LLC
PO BOX 407
LOUGHMAN, FL 33858-0407
Phone number: 407-545-9191