Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | ME-19960 | FL |
NPI | 1285650564 |
---|---|
Provider Name | Dr. Michel Henry Nahmad |
First Address | Miami, FL 33155-4000 |
Second Address | Miami, FL 33155-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
52854400 | (05) | FL |
D59820 | (02) | FL |