Individual
DR. ANNETTE NICOLE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9743 SELTEN WAY, ORLANDO, FL 32827-7933
(407) 736-8733
Mailing address
9743 SELTEN WAY, ORLANDO, FL 32827-7933
(407) 736-8733
(407) 736-8669
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME93223
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272489800
—
FL
Enumeration date
07/20/2005
Last updated
10/02/2024
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