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Contact Information

NICOLE M KRISKE, DO
MEMORIAL MIRAMAR HOSPITAL
1901 SW 172ND AVE
MIRAMAR, FL33029
 Phone: 954-538-5101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for NICOLE M KRISKE · (Female)

NPI # 1801221619
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/11/2013
Last updated 12/21/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS12724
  • FL License # UO2600
Hospital affiliation(s)
  • INDIAN RIVER MEDICAL CENTER - (Acute Care)
    1000 36TH ST
    VERO BEACH, FL 32960
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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