Individual
IBIZA NEVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7100 W COMMERCIAL BLVD, SUITE 105, LAUDERHILL, FL 33319
(954) 578-2292
(954) 578-2330
Mailing address
7100 W COMMERCIAL BLVD, SUITE 105, LAUDERHILL, FL 33319
(954) 578-2292
(954) 578-2330
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME71574
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263726
AMED
FL
05
—
263797900
—
FL
01
—
41618A
BCBS
FL
Enumeration date
03/14/2006
Last updated
03/21/2011
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