Healthcare Provider Details

I. General information

NPI: 1366620866
Provider Name (Legal Business Name): NIGEL A. SPIER MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 04/05/2021
Certification Date: 04/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3990 SHERIDAN ST SUITE 207
HOLLYWOOD FL
33021
US

IV. Provider business mailing address

3990 SHERIDAN STREET SUITE 207
HOLLYWOOD FL
33021
US

V. Phone/Fax

Practice location:
  • Phone: 954-518-0094
  • Fax: 954-518-0098
Mailing address:
  • Phone: 954-518-0094
  • Fax: 954-518-0098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberME68472
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME0068472
License Number StateFL

VIII. Authorized Official

Name: DR. NIGEL ALEXANDER SPIER
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 954-518-0094