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 |
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| Provider Name : | Robert W Nickeson |
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| Credential : | MD |
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| Gender : | Male |
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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 |
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| Phone Number : | 813-974-2201 |
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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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Aug, 2006 |
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| Last Updated On : | 23 Oct, 2009 |
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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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME63183 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Robert W Nickeson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 18473 | Other | FL | BLUE CROSS BLUE SHIELD |
| 371971500 | MEDICAID | FL | |
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 |
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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. Last updated on 08 January, 2024.