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Organization
NIDAL RADWAN M.D. PA
Active
Organization
NIDAL RADWAN M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIDAL BAZ RADWAN MD (PRESIDNET)
(305) 948-8900
Entity
Organization
Contact information
Practice address
18100 NE 19TH AVENUE, SUITE #102, NORTH MIAMI BEACH, FL 33162-1606
(305) 948-8900
(305) 948-3934
Mailing address
18100 NE 19TH AVENUE, SUITE #102, NORTH MIAMI BEACH, FL 33162-1606
(305) 948-8900
(305) 948-3934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254331100
—
FL
Enumeration date
05/10/2006
Last updated
05/18/2022
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