Provider Demographics
NPI:1225839970
Name:PARODI, NICOLE ALEXANDRA (DC)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:ALEXANDRA
Last Name:PARODI
Suffix:
Gender:
Credentials:DC
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:ALEXANDRA
Other - Last Name:PARODI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:15042 SW 104TH ST APT 1811
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3270
Mailing Address - Country:US
Mailing Address - Phone:787-955-0308
Mailing Address - Fax:
Practice Address - Street 1:15042 SW 104TH ST APT 1811
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3270
Practice Address - Country:US
Practice Address - Phone:787-955-0308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15094111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor