Healthcare Provider Details

I. General information

NPI: 1982988549
Provider Name (Legal Business Name): ZAHER I NUWAYHID, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2011
Last Update Date: 01/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3499 W 4TH AVE SUITE #201
HIALEAH FL
33012-4333
US

IV. Provider business mailing address

3499 W 4TH AVE SUITE #201
HIALEAH FL
33012-4333
US

V. Phone/Fax

Practice location:
  • Phone: 305-558-0411
  • Fax: 305-863-3802
Mailing address:
  • Phone: 305-558-0411
  • Fax: 305-863-3802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME109329
License Number StateFL

VIII. Authorized Official

Name: DR. ZAHER I NUWAYHID
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-558-0411