Individual
BADER M AL ENEZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 W END AVE, SUITE 800, NASHVILLE, TN 37203-1320
(615) 345-5400
(888) 468-6511
Mailing address
1600 SARNO RD, SUITE 15, MELBOURNE, FL 32935-4938
(800) 348-4565
(888) 468-6511
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
04166
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04166
AMERICAN BOARD OF SURGICAL ASSISTANTS
CO
Enumeration date
11/15/2006
Last updated
09/16/2016
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