MEDICARE: HERMAN A. NADAL MD PA

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	207Q00000X	Family Medicine Physician	ME54206	FL

General Provider Information

NPI Number	:	1831126119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERMAN A. NADAL MD PA

Provider Business Mailing Address
First Line	:	6710 TAFT ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-3903
Country	:	US
Telephone Number	:	954-985-8299
Fax Number	:	954-961-0025

Provider Business Practice Location Address
First Line	:	6710 TAFT ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-3903
Country	:	US
Telephone Number	:	954-985-8299
Fax Number	:	954-961-0025

Authorized Official
Title or Position	:	P/VP
Name	:	DR. HERMAN A NADAL
Credential	:	MD
Telephone Number	:	954-985-8299

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	08/22/2020

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