MEDICARE: DR. NELSON PRESCHEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME82083	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124015540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NELSON PRESCHEL M.D.

Provider Business Mailing Address
First Line	:	3775 NE 209TH TER
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-3769
Country	:	US
Telephone Number	:	305-222-7082
Fax Number	:	305-515-5606

Provider Business Practice Location Address
First Line	:	17900 NW 5 ST
Second Line	:	SUITE 204
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-2809
Country	:	US
Telephone Number	:	305-222-7082
Fax Number	:	305-515-5606

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	03/03/2025

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