# LISA E NADEL OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417250374
- **Authorized official:** MR. LISA NADEL (OWNER)
- **Authorized official phone:** (954) 426-4944

## Contact information

- **Practice address:** 6518 N STATE ROAD 7, COCONUT CREEK, FL 33073-3623
- **Practice address phone:** (954) 426-4944
- **Practice address fax:** (954) 426-3109
- **Mailing address:** 6518 N STATE ROAD 7, COCONUT CREEK, FL 33073-3623
- **Mailing address phone:** (954) 426-4944
- **Mailing address fax:** (954) 426-3109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2624 | FL | Yes |

## Other

- **Enumeration date:** 12/15/2010
- **Last updated:** 01/05/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | B4T9F | FLORIDA BLUE | — |