Healthcare Provider Details
I. General information
NPI: 1710140587
Provider Name (Legal Business Name): CHAD NADLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/02/2008
Last Update Date: 02/03/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5258 LINTON BLVD STE 304
DELRAY BEACH FL
33484-6530
US
IV. Provider business mailing address
5258 LINTON BLVD STE 304
DELRAY BEACH FL
33484-6530
US
V. Phone/Fax
- Phone: 561-476-0869
- Fax: 561-476-0759
- Phone: 561-476-0869
- Fax: 561-476-0759
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XS0106X |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| License Number | ME111427 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2082S0105X |
| Taxonomy | Surgery of the Hand (Plastic Surgery) Physician |
| License Number | ME111427 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | ME111427 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0105X |
| Taxonomy | Surgery of the Hand (Surgery) Physician |
| License Number | ME111427 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: