Individual
DR. MITCHELL S BIDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2305 OLEANDER BLVD, FORT PIERCE, FL 34982-5830
(772) 465-6616
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19949
BC/BS
FL
01
—
410049282
RAILROAD
FL
05
—
620802900
—
FL
Enumeration date
07/21/2006
Last updated
11/14/2023
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