Individual
NOURI NASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21110 BISCAYNE BLVD STE 301, AVENTURA, FL 33180-1229
(305) 935-4959
(305) 935-4960
Mailing address
PO BOX 246, HALLANDALE, FL 33008-0246
(305) 695-9606
(305) 935-5568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME75899
FL
207RC0000X
Cardiovascular Disease Physician
ME75899
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME75899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255681200
—
FL
01
—
44786
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/18/2006
Last updated
07/09/2024
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