Individual
NICOLE MICHELLE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3084 NE 41ST TER, HOMESTEAD, FL 33033
(305) 245-8050
(305) 245-5950
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(305) 245-8050
(305) 245-5950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS11204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003591000
—
FL
Enumeration date
10/02/2008
Last updated
08/31/2018
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