Individual
JOHN H NIFFENEGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3920 BEE RIDGE RD, BLDG D, SARASOTA, FL 34233-1207
(941) 924-0303
Mailing address
3920 BEE RIDGE RD, BLDG D, SARASOTA, FL 34233-1207
(941) 924-0303
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME88190
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME88190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268219200
—
FL
Enumeration date
05/17/2006
Last updated
07/14/2021
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