Individual
ANETTE NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1724 SE 17TH AVE, OCALA, FL 34471-4623
(352) 901-6210
(352) 435-7148
Mailing address
1724 SE 17TH AVE, OCALA, FL 34471-4623
(352) 901-6210
(352) 435-7148
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME 98789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LG159
MEDICARE
FL
01
—
ME98789
STATE LICENSE
FL
Enumeration date
11/22/2006
Last updated
01/06/2022
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