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NPI Code Detail

MEDICARE: DR. ENRIQUE G NAGID M.D.

MEDICARE: DR. ENRIQUE G NAGID M.D.
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
1207R00000XInternal Medicine PhysicianME23787FL

General Provider Information

NPI Number : 1457396301
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ENRIQUE G NAGID M.D.
Provider Business Mailing Address
First Line : 190 JOHN F KENNEDY DR
Second Line :
City : ATLANTIS
State : FL
Zip : 33462-1186
Country : US
Telephone Number : 561-964-3003
Fax Number : 561-642-8868
Provider Business Practice Location Address
First Line : 190 JOHN F KENNEDY DR
Second Line :
City : ATLANTIS
State : FL
Zip : 33462-1186
Country : US
Telephone Number : 561-964-3003
Fax Number : 561-642-8868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 08/21/2014

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