Healthcare Provider Details

I. General information

NPI: 1083608897
Provider Name (Legal Business Name): RALPH G NADER MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALTON RD SUITE 220
MIAMI BEACH FL
33140-2891
US

IV. Provider business mailing address

4302 ALTON RD SUITE 220
MIAMI BEACH FL
33140-2891
US

V. Phone/Fax

Practice location:
  • Phone: 305-532-6006
  • Fax: 305-532-5991
Mailing address:
  • Phone: 305-532-6006
  • Fax: 305-532-5991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME0057955
License Number StateFL

VIII. Authorized Official

Name: DR. RALPH GEORGES NADER
Title or Position: CARDIOLOGIST
Credential: MD
Phone: 305-978-0834