Healthcare Provider Details

I. General information

NPI: 1891000543
Provider Name (Legal Business Name): NASSBERG DIABETES ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 N MILITARY TRL STE 205
BOCA RATON FL
33431-6308
US

IV. Provider business mailing address

5333 N DIXIE HWY STE 205
OAKLAND PARK FL
33334-3454
US

V. Phone/Fax

Practice location:
  • Phone: 561-235-5980
  • Fax:
Mailing address:
  • Phone: 954-491-1000
  • Fax: 954-938-7923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BETH CAMHI-GREENBERG
Title or Position: EMPLOYEE
Credential: APRN
Phone: 954-491-1000