Individual
DR. ITZHAK NIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME70544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256013500
—
FL
Enumeration date
10/03/2005
Last updated
02/06/2013
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