Individual
DR. GUIDO F NODAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 MALABAR RD NE, PALM BAY, FL 32907-2506
(305) 296-6668
(305) 296-6797
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-8078
(321) 434-8075
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0050170
FL
2084P0805X
Geriatric Psychiatry Physician
ME0050170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046426100
—
FL
Enumeration date
07/31/2006
Last updated
09/15/2020
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