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NPI Code Detail

MEDICARE: JEFFREY HOWARD NARD MD

MEDICARE: JEFFREY HOWARD NARD MD
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
12084P0800XPsychiatry Physician0101043448VA
22084P0800XPsychiatry PhysicianME128560FL

General Provider Information

NPI Number : 1184612426
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY HOWARD NARD MD
Provider Business Mailing Address
First Line : 6795 SORRENTO ST
Second Line :
City : ORLANDO
State : FL
Zip : 32819-5287
Country : US
Telephone Number : 760-889-4819
Fax Number :
Provider Business Practice Location Address
First Line : 736 N MAGNOLIA AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32803-3809
Country : US
Telephone Number : 407-423-7149
Fax Number : 407-422-0470
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 07/11/2023

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