Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN17228 | FL |
N | 1223G0001X | General Practice | DN17228 | FL |
N | 213EG0000X | General Practice | DN17228 | FL |
NPI | 1073568820 |
---|---|
Provider Name | Dr. Anita B Nahar |
First Address | Jacksonville, FL 32211-9230 |
Second Address | Jacksonville, FL 32208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 26/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
076087100 | (05) | FL |
0760871-00 | (05) | FL |