MEDICARE: MICHELE NIEDERMEYER APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11017779	FL

General Provider Information

NPI Number	:	1669125332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE NIEDERMEYER APRN

Provider Business Mailing Address
First Line	:	1717 N CLYDE MORRIS BLVD STE 130
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5532
Country	:	US
Telephone Number	:	386-274-1004
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 N CLYDE MORRIS BLVD STE 130
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5532
Country	:	US
Telephone Number	:	386-274-1004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2022
Last Update Date	:	03/28/2022

Similar Medicare Providers

1407964141 — DR. DAVID BILLMEIER MD
Practice Location Address:

1717 N CLYDE MORRIS BLVD STE 120
DAYTONA BEACH, FL
32117-5532

Practice Phone: 386-777-3721
Practice Fax: 877-325-2429

1982224390 — PROGRESSIVE MEDICAL COMMUNITY
Practice Location Address:

1717 N CLYDE MORRIS BLVD STE 120
DAYTONA BEACH, FL
32117-5532

Practice Phone: 386-777-3721
Practice Fax: 877-325-2429

1215680103 — DEANNA BOICOURT RN
Practice Location Address:

1717 N CLYDE MORRIS BLVD STE 130
DAYTONA BEACH, FL
32117-5532

Practice Phone: 386-274-1004
Practice Fax:

1285333880 — MONICA CHITTA
Practice Location Address:

1717 N CLYDE MORRIS BLVD STE 140
DAYTONA BEACH, FL
32117-5532

Practice Phone: 386-257-2672
Practice Fax:

1881690162 — ROBERT P WALKER M.D.
Practice Location Address:

393 NE 5TH AVE UNIT B
DELRAY BEACH, FL
33483-5532

Practice Phone: 561-270-0003
Practice Fax:

1295842300 — STEFAN VINCENT FRANCIOSA DO
Practice Location Address:

393 NE 5TH AVE UNIT B
DELRAY BEACH, FL
33483-5532

Practice Phone: 561-270-0003
Practice Fax: 561-431-8265

Directions to “ MICHELE NIEDERMEYER APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.