Individual
DR. NICHOLAS BORIS NEDEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 NW 10TH AVENUE, MIAMI, FL 33136
(305) 585-1191
Mailing address
1801 NW 10TH AVE., MIAMI, FL 33136
(305) 585-1191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME99083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2796619-00
—
FL
Enumeration date
06/01/2007
Last updated
02/16/2012
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