Individual
ROBERT NISENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3319 STATE ROAD 7, 102, WELLINGTON, FL 33449-8094
(561) 333-4000
(561) 333-8851
Mailing address
9575 BARLETTA WINDS PT, DELRAY BEACH, FL 33446-9712
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS6753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250058200
—
FL
Enumeration date
09/20/2005
Last updated
02/18/2013
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