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Contact Information

NICOLE CONRAD, MD
3000 N UNIVERSITY DR
SUITE K
CORAL SPRINGS, FL33065-5055
 Phone: 954-752-2630
 Fax: 954-752-0183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for NICOLE CONRAD · (Female)

NPI Number 1679565881
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2005
Last updated 11/29/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-110873
  • IL Other P00116900 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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