NICOLE MINNICK

CLEARWATER, FL
NPI1679010862
Former NameNICOLE PRUSE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  9110085)
Enumeration Date2017-01-25
Last Update Date2017-01-25
Business Address
-- NICOLE MINNICK PA-C
300 PINELLAS ST # MS 36
CLEARWATER, FL 33756-3804
Phone number: 727-251-4112
Mailing Address
-- NICOLE MINNICK PA-C
300 PINELLAS ST # MS 36
CLEARWATER, FL 33756-3804
Phone number: 727-251-4112
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