| Doctor Name: | DR. MICHAEL JOHN NICHOLAS |
| NPI Number: | 1942486873 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | D0068429 |
| Business Practice Address: | 100 South Ashley Drive Suite 1500 Tampa, FL - 336025318 |
| Business Phone Number: | 8138996220 |
| Business Fax Number: | 8139858006 |
| Mailing Address: | 100 South Ashley Drive, Suite 1500 TAMPA |
| State: | FL |
| Postal Code: | 336025318 |
| Phone Number: | 8138996220 |
| Fax Number: | 8139858006 |
| NPI Enumeration Date: | 01/10/2008 |
| NPI Last Update Date: | 03/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | D0068429 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |