Healthcare Provider Details

I. General information

NPI: 1699837815
Provider Name (Legal Business Name): JAMES NESTOR D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3085 NE 163RD ST
NORTH MIAMI BEACH FL
33160-4424
US

IV. Provider business mailing address

3085 NE 163RD ST
NORTH MIAMI BEACH FL
33160-4424
US

V. Phone/Fax

Practice location:
  • Phone: 305-945-4973
  • Fax: 305-945-9430
Mailing address:
  • Phone: 305-945-4973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH8869
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: