Individual
PETER ANTON NASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6930 BONNEVAL RD, SUITE #2, JACKSONVILLE, FL 32216-6012
(904) 854-6899
(904) 338-0533
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 398-3760
(904) 338-0533
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME94669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274620400
—
FL
01
—
29986
AV MED
FL
01
—
31047
BCBS
FL
01
—
593385828
UNITED HEALTHCARE
FL
01
—
7329770
AETNA
FL
Enumeration date
11/03/2006
Last updated
11/17/2015
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