Search › Florida › 174400000X
Nicole Wiedeke
NPI 1336699818 · on the registry since 2016 · sole proprietor
Practice
- Address
- 9041 Nw 12th Court
Pembroke Pines, FL 33024 - Phone
- (954) 825-9281
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida