De Siqueira, Nicolle

De Siqueira, Nicolle is an sole proprietor health care provider with primary practice located at 11645 Biscayne Blvd Ste 100 , North Miami FL 33181-3155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. De Siqueira, Nicolle can be contacted via phone (305) 538-8835.

Contact Information

Primary practice address
11645 Biscayne Blvd Ste 100 North Miami FL 33181-3155
Phone: (305) 538-8835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9117049 Florida

Profile Details

NPI number 1942916440
LBN Legal business name De Siqueira, Nicolle
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2023
Last updated Aug 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942916440 NPPES
Florida MEDICAID 117047800

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