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Michael Gene Niederbrach JR.
Student in an Organized Health Care Education/Training Program in St Petersburg, Florida
NPI 1083355846

Michael Gene Niederbrach JR. is a Student in an Organized Health Care Education/Training Program based in St Petersburg, FL. Michael Gene Niederbrach JR. practices in St Petersburg, FL. The NPI Number for Michael Gene Niederbrach JR. is 1083355846 and holds a License No. (Florida).

The current practice location address for Michael Gene Niederbrach JR. is 700 6Th St S, St Petersburg, FL and can be reached out via phone at 727-893-6116 and via fax at 727-553-7340.

Location: 700 6Th St S, St Petersburg, FL, 33701-4815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083355846
Provider Name
Michael Gene Niederbrach JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
700 6Th St S, St Petersburg, FL, 33701-4815
Phone Number
727-893-6116
Fax Number
727-553-7340
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 6Th St S
City
St Petersburg
State
Florida
Zip
33701-4815
Phone Number
727-893-6116
Fax Number
727-553-7340
person
Provider Business Mailing Address Details
Address
700 6Th St S
City
St Petersburg
State
Florida
Zip
33701-4815
Phone Number
727-893-6116
Fax Number
727-553-7340
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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