Organization
AUDWIN B NELSON MD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDWIN BRUCE NELSON MD (PRESIDENT)
(863) 471-2320
Entity
Organization
Contact information
Practice address
4215 SUN N LAKE BLVD, SEBRING, FL 33872-2158
(863) 471-2320
(863) 471-2101
Mailing address
4215 SUN N LAKE BLVD, SEBRING, FL 33872-2158
(863) 471-2320
(863) 471-2101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME86834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266302300
—
FL
Enumeration date
01/28/2009
Last updated
10/06/2010
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