Individual
ALAN L NIEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 SE 3RD AVE STE 300, FORT LAUDERDALE, FL 33316
(954) 355-5001
(954) 355-4881
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 355-5001
(954) 355-4881
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME49921
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME49921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019491300
—
FL
05
—
046023100
—
FL
01
—
P02118522
MEDICARE RR
FL
Enumeration date
10/14/2005
Last updated
07/03/2025
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