MEDICARE: NICOLE STEPHANIE UZIEDA

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	225X00000X	Occupational Therapist	25934	FL

General Provider Information

NPI Number	:	1992384770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE STEPHANIE UZIEDA

Provider Business Mailing Address
First Line	:	8505 NW 3RD LN APT 11
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3864
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8505 NW 3RD LN APT 11
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3864
Country	:	US
Telephone Number	:	305-968-2385
Fax Number	:

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

Provider Enumeration Date	:	04/07/2021
Last Update Date	:	11/18/2025

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Directions to “ NICOLE STEPHANIE UZIEDA ” Practice Location

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