Nieder, Michael Louis

Nieder, Michael Louis is an individual health care provider with primary practice located at 3251 3Rd Ave N , St Petersburg FL 33713-8506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nieder, Michael Louis can be contacted via phone (727) 321-3854.

Contact Information

Primary practice address
3251 3Rd Ave N St Petersburg FL 33713-8506
Phone: (727) 321-3854
Fax: (727) 327-7670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 91975 Florida
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X ME91975 Florida

Profile Details

NPI number 1295710218
LBN Legal business name Nieder, Michael Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jun 13th, 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 1295710218 NPPES
Florida MEDICAID 015609600

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