Individual
MARIA NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 SE OSCEOLA ST, STE 200A, STUART, FL 34994-2503
(561) 318-0252
(561) 744-0735
Mailing address
401 SE OSCEOLA ST, STE 200A, STUART, FL 34994-2503
(561) 318-0252
(561) 744-0735
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
241605
MA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
ME128094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017290600
—
FL
Enumeration date
06/08/2009
Last updated
09/21/2021
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