Individual
NICKI SKORDILIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11036450
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11036450
FL
363LF0000X
Family Nurse Practitioner
RN290062
GA
Other
Enumeration date
03/22/2021
Last updated
12/27/2024
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