Healthcare Provider Details

I. General information

NPI: 1427570977
Provider Name (Legal Business Name): MENACHEM NAGAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2017
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 S ROSEMARY AVE STE 204 #2021
WEST PALM BEACH FL
33401-6310
US

IV. Provider business mailing address

700 S. ROSEMARY AVE, SUITE 204 #2021
WEST PALM BEACH FL
33401
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone: 954-998-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberME155946
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number327424
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME155946
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: