Robert W Nickeson

MD | Pediatrics | Male

Robert W Nickeson, MD is a Tampa, Florida based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Robert W Nickeson is 12901 Bruce B Downs Blvd, Tampa, Florida - 33612-4742. He can be contacted on phone at 813-974-2201. Robert W Nickeson is a sole proprietor of his business.
NPI number (Unique professional ID) for Robert W Nickeson is 1336159656 which was assigned by NPPES on 09 Aug, 2006 and it was last updated on 23 Oct, 2009. Robert W Nickeson license number is ME63183 for Pediatrics (208000000X) in Florida.
Robert W Nickeson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Robert W Nickeson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Robert W Nickeson
Credential :MD
Gender :Male
Business Address:
Robert W Nickeson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :12901 Bruce B Downs Blvd
Tampa, FL, 33612-4742
United States
Phone Number :813-974-2201
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1336159656
NPI Entity Type : Individual
First Enrolment Date : 09 Aug, 2006
Last Updated On : 23 Oct, 2009
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert W Nickeson are as mentioned. Primary taxonomy code for Robert W Nickeson, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYesME63183FL
Legacy Identifiers:
Other legacy medical identifiers of Robert W Nickeson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
18473OtherFLBLUE CROSS BLUE SHIELD
371971500MEDICAIDFL
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 917770
Orlando, FL, 32891-7770
United States
Business Location:
Patients can refer following map for directions to Robert W Nickeson practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.