Individual
DR. MICHAEL LOUIS NIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 6TH AVE S STE 305, ST PETERSBURG, FL 33701-4664
(727) 321-3854
(727) 800-5829
Mailing address
701 94TH AVE N STE 250, ST PETERSBURG, FL 33702-2448
(727) 321-3854
(727) 800-5829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
91975
FL
207Q00000X
Family Medicine Physician
Primary
ME91975
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME91975
FL
2080P0207X
Pediatric Hematology & Oncology Physician
ME91975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015609600
—
FL
Enumeration date
12/13/2005
Last updated
04/23/2026
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