Healthcare Provider Details
I. General information
NPI: 1760131692
Provider Name (Legal Business Name): NORA NIKPRELEVIC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/18/2022
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2950 CLEVELAND CLINIC BLVD
WESTON FL
33331-3609
US
IV. Provider business mailing address
408 NE 6TH ST UNIT 542
FT LAUDERDALE FL
33304-6413
US
V. Phone/Fax
- Phone: 954-659-5000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: