Healthcare Provider Details

I. General information

NPI: 1003329038
Provider Name (Legal Business Name): NADEJDA DOBRYDNIK DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2017
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11645 BISCAYNE BLVD STE 302
MIAMI FL
33181-3138
US

IV. Provider business mailing address

11645 BISCAYNE BLVD STE 207
MIAMI FL
33181-3138
US

V. Phone/Fax

Practice location:
  • Phone: 55-388-8353
  • Fax: 305-994-0054
Mailing address:
  • Phone: 305-538-8835
  • Fax: 305-994-0054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9344074
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: