Individual
NICOLE PIETRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-5052
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-5333
(239) 343-5321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS17988
FL
2080P0207X
Pediatric Hematology & Oncology Physician
17988
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111409600
—
FL
Enumeration date
03/17/2016
Last updated
09/10/2025
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