=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861577728
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOEL ARNOLD NAGLER M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/26/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1688 MERIDIAN AVE SUITE 202
-----------------------------------------------------
City | MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33139-2710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-673-9349
-----------------------------------------------------
Fax | 305-673-0758
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1688 MERIDIAN AVENUE SUITE 202
-----------------------------------------------------
City | MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33139-2717
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-673-9349
-----------------------------------------------------
Fax | 305-673-0758
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 037971
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------