Individual
DR. CHAIM NISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7481 W OAKLAND PARK BLVD STE 100, TAMARAC, FL 33319-4985
(954) 771-7743
(954) 771-7748
Mailing address
1065 NE 125TH ST STE 300, NORTH MIAMI, FL 33161-5833
(888) 852-6672
(305) 891-4228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1021719
MA
207Q00000X
Family Medicine Physician
4504
TN
207Q00000X
Family Medicine Physician
Primary
OS15435
FL
Other
Enumeration date
06/26/2018
Last updated
09/05/2025
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