MEDICARE: MR. LUIS S NASIFF 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
1	207RG0100X	Gastroenterology Physician	ME 57104	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	:	1508840430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LUIS S NASIFF MD

Provider Business Mailing Address
First Line	:	1321 NW 14TH ST
Second Line	:	SUITE 402
City	:	MIAMI
State	:	FL
Zip	:	33125-1673
Country	:	US
Telephone Number	:	305-325-4410
Fax Number	:	305-325-4405

Provider Business Practice Location Address
First Line	:	1321 NW 14TH ST
Second Line	:	SUITE 402
City	:	MIAMI
State	:	FL
Zip	:	33125-1673
Country	:	US
Telephone Number	:	305-325-4410
Fax Number	:	305-325-4405

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

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	08/28/2008

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Directions to “ MR. LUIS S NASIFF MD” Practice Location

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