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NPI Code Detail

MEDICARE: DR. BRAD NITZBERG M.D.

MEDICARE:  DR. BRAD  NITZBERG  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
1207Y00000XOtolaryngology PhysicianME 56491FL

General Provider Information

NPI Number : 1932113123
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRAD NITZBERG M.D.
Provider Business Mailing Address
First Line : 5401 N UNIVERSITY DR
Second Line : SUITE 203A
City : CORAL SPRINGS
State : FL
Zip : 33067-4636
Country : US
Telephone Number : 954-755-1946
Fax Number : 954-755-7789
Provider Business Practice Location Address
First Line : 5401 N UNIVERSITY DR
Second Line : SUITE 203A
City : CORAL SPRINGS
State : FL
Zip : 33067-4636
Country : US
Telephone Number : 954-755-1946
Fax Number : 954-755-7789
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 06/02/2010

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Directions to “ DR. BRAD NITZBERG M.D.” Practice Location

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