Individual
IAN (NMI) NISONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6350 SW 87TH TER, MIAMI, FL 33143-8061
(305) 667-3272
(305) 667-3272
Mailing address
6350 SW 87TH TER, MIAMI, FL 33143-8061
(305) 667-3272
(305) 667-3272
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME15314
FL
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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