Individual
NICOLE REUSSER BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME140643
FL
207ND0900X
Dermatopathology Physician
Primary
T0424
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
T0424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103744900
—
FL
Enumeration date
04/09/2015
Last updated
01/29/2026
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