Healthcare Provider Details

I. General information

NPI: 1982450789
Provider Name (Legal Business Name): NEXMED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2024
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 SAGEBRUSH TRL STE C
ORMOND BEACH FL
32174-9195
US

IV. Provider business mailing address

141 SAGEBRUSH TRL STE C
ORMOND BEACH FL
32174-9195
US

V. Phone/Fax

Practice location:
  • Phone: 386-271-0050
  • Fax: 386-401-3985
Mailing address:
  • Phone: 386-271-0050
  • Fax: 386-401-3985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. NOAH HERBERT
Title or Position: PRESIDENT
Credential: DC
Phone: 386-271-0050