Individual
ANIL K. NASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 S PINE ISLAND RD STE A-150, PLANTATION, FL 33324-3918
(954) 376-3739
(844) 407-9213
Mailing address
950 S PINE ISLAND RD STE 150A, PLANTATION, FL 33324-3918
(954) 376-3739
(844) 407-9213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME119915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012614700
—
FL
01
—
14W9H
FLORIDA BLUE
FL
Enumeration date
04/08/2011
Last updated
09/14/2018
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