Provider Demographics
NPI:1386208015
Name:APPLYRS, NICOLAS JR (DO)
Entity Type:Individual
Prefix:DR
First Name:NICOLAS
Middle Name:
Last Name:APPLYRS
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11725 SW 25TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-7500
Mailing Address - Country:US
Mailing Address - Phone:954-914-3534
Mailing Address - Fax:
Practice Address - Street 1:3880 W BROWARD BLVD STE B4-B9
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-1058
Practice Address - Country:US
Practice Address - Phone:954-644-8902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-29
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS17114208D00000X
390200000X
FL0S17114207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program