Individual
DR. ANITA B NAHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1830 WEST 45TH STREET, JACKSONVILLE, FL 32208
(904) 253-1783
(904) 253-1788
Mailing address
900 UNIVERSITY BLVD N, MC - 75, JACKSONVILLE, FL 32211-9230
(904) 253-2062
(904) 253-1942
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN17228
FL
1223G0001X
General Practice Dentistry
DN17228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0760871-00
—
FL
05
—
076087100
—
FL
Enumeration date
05/23/2006
Last updated
02/26/2013
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