Individual
BRETT M NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5025 SYLVESTER LOOP, TAMPA, FL 33610-5629
(216) 200-9092
Mailing address
5035 SYLVESTER LOOP, TAMPA, FL 33610-5629
(216) 200-9092
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
562
FL
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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