MEDICARE: DR. KAREN NACHUM DMD

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	26054	FL

General Provider Information

NPI Number	:	1851073027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN NACHUM DMD

Provider Business Mailing Address
First Line	:	10340 S LAKE VISTA CIR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-1120
Country	:	US
Telephone Number	:	954-756-2681
Fax Number	:

Provider Business Practice Location Address
First Line	:	4725 SW 148TH AVE STE 203
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33330-2124
Country	:	US
Telephone Number	:	954-680-6160
Fax Number	:

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

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	08/07/2023

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