Individual
DR. NICHOLE DIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
206 N FLORIDA AVE, LAKELAND, FL 33801-4902
(863) 209-7003
(863) 274-3520
Mailing address
1395 NW 167TH ST, MIAMI, FL 33169-5710
(305) 628-6117
(305) 628-6127
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3847
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO 3874
FL
Other
Enumeration date
02/25/2014
Last updated
10/25/2019
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