Healthcare Provider Details

I. General information

NPI: 1376361105
Provider Name (Legal Business Name): VERONICA BIEDERMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 10/06/2024
Certification Date: 10/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALTON RD STE 1010
MIAMI BEACH FL
33140-2890
US

IV. Provider business mailing address

1015 SHORE LN
MIAMI BEACH FL
33141-2445
US

V. Phone/Fax

Practice location:
  • Phone: 305-531-6829
  • Fax:
Mailing address:
  • Phone: 609-846-6894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11035703
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9505144
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: