Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Georgina Nichols MD PA

Organization Plastic and Reconstructive Surgery Physician · NPI 1770495202

Georgina Nichols MD PA provides Plastic and Reconstructive Surgery Physician services in Fort Lauderdale, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

915 Middle River Dr Ste 213
Fort Lauderdale, FL 33304-3560
Phone: (561) 529-5077
Fax: (877) 561-5267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1770495202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Georgina Nichols — Ceo · (561) 529-5077
NPI enumeratedSeptember 21, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 20, 2026
Mailing address4704 Sw 160th Ave Apt 220, Miramar, FL 33027-5707

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