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Nicholas Florence, MD
Student in an Organized Health Care Education/Training Program in Normal, Illinois
NPI 1093100554

Nicholas Florence is a Student in an Organized Health Care Education/Training Program based in Urbana, IL. Nicholas Florence practices in Normal, IL and has the professional credentials of MD. The NPI Number for Nicholas Florence is 1093100554 and holds a License No. 036151532 (Illinois).

The current practice location address for Nicholas Florence is 1300 Franklin Ave, Normal, IL and can be reached out via phone at 309-454-1400.

Location: 1300 Franklin Ave, Normal, IL, 61801-2500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093100554
Provider Name
Nicholas Florence
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1300 Franklin Ave, Normal, IL, 61801-2500
Phone Number
309-454-1400
Fax Number
Provider Enumeration Date
04/01/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1300 Franklin Ave
City
Normal
State
Illinois
Zip
61761-3592
Phone Number
309-454-1400
Fax Number
person
Provider Business Mailing Address Details
Address
1300 Franklin Ave
City
Normal
State
Illinois
Zip
61761-3592
Phone Number
309-454-1400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
125067926 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036151532 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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