Individual
ANDREW NIDETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1301 NE MIAMI GARDENS DR APT 911, MIAMI, FL 33179-4982
(305) 281-0331
Mailing address
1301 NE MIAMI GARDENS DR APT 911, MIAMI, FL 33179-4982
(305) 281-0331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA10269
FL
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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