Individual
NIMESH HARISH NAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2163
(321) 750-6579
Mailing address
5701 RUSACK DR, MELBOURNE, FL 32940-8017
(321) 750-6579
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME 105351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001965800
—
FL
01
—
810793876
IRS
FL
Enumeration date
06/26/2008
Last updated
02/15/2023
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