Individual
FLAVIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 NW 14TH ST STE 1322, MIAMI, FL 33136-2107
(305) 243-4655
Mailing address
1120 NW 14TH ST STE 1322, MIAMI, FL 33136-2107
(305) 243-4655
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
63304
MN
2084N0400X
Neurology Physician
L6124
TX
2084N0400X
Neurology Physician
Primary
ME154456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166141501
—
TX
01
—
8F6719
BCBS
TX
Enumeration date
06/27/2006
Last updated
02/01/2022
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