NPI 1083078604

Marilin Nicholson, MD

Practitioner Urology Physician Tampa, FL

Practice location

Address: 12902 Usf Magnolia Dr, Tampa, FL 33612-9416
Phone: (813) 745-7365
Fax: (813) 449-8618
Mailing address: PO Box 198441, Atlanta, GA 30384-8441

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence ME155173 (FL)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1083078604
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2016
Record last updated: 30 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.