Healthcare Provider Details

I. General information

NPI: 1689734295
Provider Name (Legal Business Name): NALIN T MASTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 TAMIAMI TRL N SUITE 201
NAPLES FL
34103-2817
US

IV. Provider business mailing address

5200 TAMIAMI TRL N SUITE 201
NAPLES FL
34103-2817
US

V. Phone/Fax

Practice location:
  • Phone: 239-263-6766
  • Fax: 239-263-3320
Mailing address:
  • Phone: 239-263-6766
  • Fax: 239-263-3320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME0037856
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: