Individual
DR. SUDHIR K NAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1651 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7564
(772) 398-1800
(772) 398-1840
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5665
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
20859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055021300
—
FL
01
—
5901116
GHI
FL
Enumeration date
08/24/2006
Last updated
01/30/2014
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