Organization
ITZHAK NIR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAITH NIR (OFFICE MANAGER)
(561) 753-3331
Entity
Organization
Contact information
Practice address
13005 SOUTHERN BLVD, SUITE 232, LOXAHATCHEE, FL 33470-9206
(561) 753-3331
(561) 753-3823
Mailing address
13005 SOUTHERN BLVD, SUITE 232, LOXAHATCHEE, FL 33470-9206
(561) 753-3331
(561) 753-3823
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME70544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124015482
NPI
—
Enumeration date
03/26/2012
Last updated
03/26/2012
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