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1669013033
NICHOLAS RICHARD TRAVIS
ST PETERSBURG, FL
NPI
1669013033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11003857)
Enumeration Date
2019-10-07
Last Update Date
2019-10-07
Business Address
NICHOLAS RICHARD TRAVIS FNP
3501 54TH AVE S
ST PETERSBURG, FL 33711-4541
Phone number: 727-864-1546
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Mailing Address
NICHOLAS RICHARD TRAVIS FNP
3501 54TH AVE S
ST PETERSBURG, FL 33711-4541
Phone number:
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