Dr Nichole Didley, DPM | |
206 N Florida Ave, Lakeland, FL 33801-4902 | |
(863) 209-7003 | |
(863) 274-3520 |
Full Name | Dr Nichole Didley |
---|---|
Gender | Female |
Speciality | Podiatrist |
Location | 206 N Florida Ave, Lakeland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679998835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO 3874 (Florida) | Secondary |
213E00000X | Podiatrist | PO3847 (Florida) | Primary |
Provider Name | Dedicated Senior Medical Center Of Florida, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703 |
Mailing Address | Practice Location Address |
---|---|
Dr Nichole Didley, DPM 1395 Nw 167th St, Miami, FL 33169-5710 Ph: (305) 628-6117 | Dr Nichole Didley, DPM 206 N Florida Ave, Lakeland, FL 33801-4902 Ph: (863) 209-7003 |
Dr. William S Wong, D.P.M. P.A. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 927 S Florida Ave, Lakeland, FL 33803 Phone: 863-686-1081 Fax: 863-687-6333 | |
Dr. Jeffrey C Karr, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5421 S Florida Ave, Lakeland, FL 33813 Phone: 863-646-5960 Fax: 863-644-2847 | |
James Pruchniewski Dpm Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4973 Us Highway 98 N, Lakeland, FL 33809 Phone: 863-859-4434 Fax: 863-859-7461 | |
Dr. Zully Alicia Calvo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1033 N Parkway Frontage Rd, Lakeland, FL 33803 Phone: 863-680-7214 Fax: 866-264-8519 | |
Dr. John A Crist, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1443 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-686-6200 Fax: 813-752-0093 | |
Marvin Odro, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2939 S Florida Ave, Lakeland, FL 33803 Phone: 863-687-3404 Fax: 863-687-4672 | |
Upperline Healthcare, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1507 Lakeland Hills Blvd Ste 101, Lakeland, FL 33805 Phone: 863-250-4587 |