Kim R Nickelson (NPI# 1861473589, PAC ID# 5496715880) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1861473589 |
| PAC ID by PECOS | 5496715880 |
| Professional Enrollment ID | I20041011000452 |
| Full Name | Kim R Nickelson |
| Organization Legal Name | METCARE OF FLORIDA INC |
| Address |
301 Nw 84th Ave 101 Metcare of Plantation Plantation FL 33324-1807 |
| Phone Number | 9545811900 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1981 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9739265141 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 840 Us Hwy 1, Suite 400, North Palm Beach, FL 33408-3833 | 5617752088 | METCARE OF FLORIDA INC |
| 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 | 9545811900 | METCARE OF FLORIDA INC |
| Organization Legal Name | METCARE OF FLORIDA INC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria Nikole Felder | Nurse Practitioner | Metcare of Florida Inc | 3641 Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2357 |
| Rene S Vasquez | General Practice | Metcare of Florida Inc | 929 N Spring Garden Ave, 170 Metcare of Deland, Deland, FL 32720-0917 |
| Dennis Kee | Physician Assistant | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Djenane Elsa Imbert | Nurse Practitioner | Metcare of Florida Inc | 711 Beville Rd, South Daytona, FL 32119-1823 |
| Linda M Melendez Torres | General Practice | Metcare of Florida Inc | 2669 Enterprise Rd, Metcare of Orange City, Orange City, FL 32763-8217 |
| Shana Fleming | Nurse Practitioner | Metcare of Florida Inc | 1233 Se Indian St, 103 Metcare of Stuart, Stuart, FL 34997-5689 |
| Pradyumansinh M Chudasama | Internal Medicine | Metcare of Florida Inc | 349 Nw 16th St, 104 Metcare of The Everglades, Belle Glades, FL 33430-2839 |
| Joshua Yun | Family Medicine | Metcare of Florida Inc | 1914 State Rd, Suite 44, New Smyrna Beach, FL 32168-8345 |
| David Scott Weinreich | Internal Medicine | Metcare of Florida Inc | 731 N Clyde Morris Blvd, Humana Physician Group, Daytona Beach, FL 32114-1603 |
| Gail G Bonner | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Street Address |
301 NW 84TH AVE 101 METCARE OF PLANTATION |
| City | PLANTATION |
| State | FL |
| Zip | 33324-1807 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail G Bonner | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Alejandro R Luna | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Bita Sabripour | Optometry | 301 Nw 84th Ave, Suite 205, Plantation, FL 33324-1807 | |
| Princy Bhat | Nurse Practitioner | Metcare of Florida Inc | 301 Nw 84th Ave, Suite 101, Plantation, FL 33324-1807 |
| Malcolm M. Major | Hospice/palliative Care | Westside Medical Associates Pa. | 301 Nw 84th Ave, Plantation, FL 33324-1807 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David E Yachter | Chiropractic | 10189 Cleary Blvd, Suite 103, Plantation, FL 33324-1027 | |
| Jeffrey E Sager | Optometry | Jeffrey E Sager Od Pa | 823 N Nob Hill Rd, Plantation, FL 33324-1038 |
| Candice Mansito | Optometry | Jeffrey E Sager Od Pa | 823 N Nob Hill Rd, Plantation, FL 33324-1038 |
| Robert S Leshaw | Chiropractic | 10063 Cleary Blvd, Plantation, FL 33324-1063 | |
| Abram Berens | Family Medicine | 969 N Nob Hill Rd, Plantation, FL 33324-1078 | |
| Ivy Lawson | Diagnostic Radiology | West Hudson Imaging Associates Pllc | 10781 Nw 5th St, Plantation, FL 33324-1518 |
| Mark Herman | Chiropractic | 301 Nw84th Ave, Suite 301, Plantation, FL 33324-1807 | |
| Andrew G Knowles | Anesthesiology | U S Anesthesia Partners of Florida Inc | 301 Nw 82nd Ave, Plantation, FL 33324-1811 |
| Jessica R Angel | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Florida Inc | 301 Nw 82nd Ave, Plantation, FL 33324-1811 |
| Jessica E Khan | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Florida Inc | 301 Nw 82nd Ave, Plantation, FL 33324-1811 |
| Find all physicians in zip 33324 | |||
| City | PLANTATION |
| Zip Code | 33324 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PLANTATION + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.