Healthcare Provider Details

I. General information

NPI: 1982532271
Provider Name (Legal Business Name): NABI MEDICAL PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 NE 191ST ST STE 77460
MIAMI FL
33179-3899
US

IV. Provider business mailing address

390 NE 191ST ST STE 77460
MIAMI FL
33179-3899
US

V. Phone/Fax

Practice location:
  • Phone: 206-799-1070
  • Fax: 206-866-0204
Mailing address:
  • Phone: 206-799-1070
  • Fax: 206-866-0204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RACHEL FONG
Title or Position: CO-FOUNDER
Credential:
Phone: 206-799-1070