Individual
NECTAR AINTABLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1881 PROFESSIONAL PARK CIR STE 80, TALLAHASSEE, FL 32308-4536
(850) 402-5454
(850) 402-5451
Mailing address
1881 PROFESSIONAL PARK CIR STE 80, TALLAHASSEE, FL 32308-4536
(850) 402-5454
(850) 402-5451
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME72425
FL
2080P0208X
Pediatric Infectious Diseases Physician
ME72425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251500800
—
FL
Enumeration date
05/10/2006
Last updated
02/24/2020
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