Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME13139 | FL |
N | 111NI0900X | Internist | ME13139 | FL |
N | 207RI0200X | Infectious Disease | ME0013139 | FL |
NPI | 1043210560 |
---|---|
Provider Name | Dr. Nelson Robert Zide |
First Address | Hollywood, FL 33021-3416 |
Second Address | Hollywood, FL 33021-3416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D51783 | (02) |