Individual
NASIR NABIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1885 VIA LAGO DR, LAKELAND, FL 33810-2418
(863) 354-1333
Mailing address
5337 N SOCRUM LOOP RD STE 310, LAKELAND, FL 33809-4256
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
E3436740
FL
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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