MEDICARE: DR. NIMESH A DAYAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	45872	TN
2	207RR0500X	Rheumatology Physician	ME114449	FL

General Provider Information

NPI Number	:	1215145636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIMESH A DAYAL MD

Provider Business Mailing Address
First Line	:	1550 CITRUS MEDICAL CT
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4547
Country	:	US
Telephone Number	:	407-757-0277
Fax Number	:	407-757-0271

Provider Business Practice Location Address
First Line	:	1550 CITRUS MEDICAL CT
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4547
Country	:	US
Telephone Number	:	407-757-0277
Fax Number	:	407-757-0271

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	06/11/2019

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