Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. NICHOLAS R URDIALES

Active Sole Proprietor

Ocularist · BRADENTON, FL

Registration Details

NPI Number: 1508294117
Provider Type: Individual
Gender: Male
NPI Issued: Oct 16, 2013 (12.516587812465 yrs)
Last Updated: Oct 16, 2013
Sole Proprietor: Yes

Practice Information

Address: 1767 LAKEWOOD RANCH BLVD

#252

BRADENTON, FL, 342114906
Browse FL providers · Browse ZIP 34211
Phone: 9737895148
Primary Specialty: Ocularist
156FX1700X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.