Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD141456 | FL |
N | 207PE0004X | Emergency Medical Services | 280440 | NY |
Y | 207Q00000X | Family Doctor | MD141456 | FL |
NPI | 1184975039 |
---|---|
Provider Name | Dr. Nathan Dvor |
First Address | Miami, FL 33173-3035 |
Second Address | Miami, FL 33173-3035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2012 |
Last Update Date | 08/12/2021 |