Marilin Nicholson, MD | |
200 3rd Ave W Ste 210, Bradenton, FL 34205-8633 | |
(941) 792-0340 | |
(941) 794-2251 |
Full Name | Marilin Nicholson |
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Gender | Female |
Speciality | Urology |
Location | 200 3rd Ave W Ste 210, Bradenton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083078604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | ME155173 (Florida) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
Entity Name | Genesiscare Usa Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
Mailing Address | Practice Location Address |
---|---|
Marilin Nicholson, MD 3218 W Harbor View Ave, Tampa, FL 33611-1921 Ph: () - | Marilin Nicholson, MD 200 3rd Ave W Ste 210, Bradenton, FL 34205-8633 Ph: (941) 792-0340 |
Mark P Weintraub, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 200 3rd Ave W, Suite 210, Bradenton, FL 34205 Phone: 941-792-0340 Fax: 941-794-2251 | |
Kenneth R Fiscella, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1410 59th St W, Bradenton, FL 34209 Phone: 941-792-1477 Fax: 941-794-8017 | |
Dr. Sean Alexander Castellucci, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 200 3rd Ave W, Suite 210, Bradenton, FL 34205 Phone: 941-792-0340 Fax: 941-794-2251 | |
Edward Herrman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 200 3rd Ave W, Suite 210, Bradenton, FL 34205 Phone: 941-792-0340 Fax: 941-567-1124 | |
George Austin Hill, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 200 3rd Ave W, Suite 210, Bradenton, FL 34205 Phone: 941-792-0340 Fax: 941-567-3171 | |
George Bino Rucker, M.D. Urology Medicare: Medicare Enrolled Practice Location: 6124 53rd Ave E, Bradenton, FL 34203 Phone: 941-448-1199 Fax: 941-462-1796 |