MEDICARE: NANO HEALTH ASSOCIATES LLC

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	207R00000X	Internal Medicine Physician	OS8861	FL

General Provider Information

NPI Number	:	1952727356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NANO HEALTH ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	1674 MERIDIAN AVE
Second Line	:	SUITE 201
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2801
Country	:	US
Telephone Number	:	305-760-8756
Fax Number	:	305-760-8759

Provider Business Practice Location Address
First Line	:	1674 MERIDIAN AVE
Second Line	:	SUITE 201
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2801
Country	:	US
Telephone Number	:	305-760-8756
Fax Number	:	305-760-8759

Authorized Official
Title or Position	:	OWNER / DO
Name	:	DR. GENE NEYTMAN
Credential	:	DO
Telephone Number	:	305-760-8756

Provider Enumeration Date	:	03/10/2014
Last Update Date	:	01/29/2015

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Directions to “NANO HEALTH ASSOCIATES LLC ” Practice Location

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