=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982988549
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ZAHER I NUWAYHID, M.D., P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/30/2011
-----------------------------------------------------
Last Update Date | 01/12/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3499 W 4TH AVE SUITE #201
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33012-4333
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-558-0411
-----------------------------------------------------
Fax | 305-863-3802
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3499 W 4TH AVE SUITE #201
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33012-4333
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-558-0411
-----------------------------------------------------
Fax | 305-863-3802
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ZAHER I NUWAYHID
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 305-558-0411
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | ME109329
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------