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NPI Code Detail

MEDICARE: SIMONE NADER MD

MEDICARE: SIMONE NADER 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
1207UN0901XNuclear Cardiology PhysicianME79875FL
2207RC0000XCardiovascular Disease PhysicianME79875FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01132904OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922075134
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMONE NADER MD
Provider Business Mailing Address
First Line : PO BOX 43667
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32203-3667
Country : US
Telephone Number : 904-720-0599
Fax Number : 904-376-4036
Provider Business Practice Location Address
First Line : 14534 OLD SAINT AUGUSTINE RD STE 3420
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-2616
Country : US
Telephone Number : 904-493-8001
Fax Number : 904-338-0852
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 08/16/2023

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Practice Location Address:
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Practice Fax: 904-338-0852

Directions to “ SIMONE NADER MD” Practice Location

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