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Individual

DR. JOHN J NALIYATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1870 N LAWNWOOD CIR, STE A, FORT PIERCE, FL 34950-4828
(772) 461-0820
(772) 461-0823
Mailing address
1870 N LAWNWOOD CIR, STE A, FORT PIERCE, FL 34950-4828
(772) 461-0820
(772) 461-0823

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
FR0435669133
NY
2084P0800X
Psychiatry Physician
Primary
ME124213
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015580200
FL
Enumeration date
06/02/2012
Last updated
03/17/2016
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