Individual
NICOLE INGICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5405 NW 102ND AVE, SUNRISE, FL 33351-8746
(954) 918-1214
Mailing address
2521 NW 112TH AVE, CORAL SPRINGS, FL 33065-3537
(954) 918-1214
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12037
FL
Other
Enumeration date
05/19/2025
Last updated
09/09/2025
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