Nagib, Issac
Nagib, Issac is an sole proprietor health care provider with primary practice located at 1342 State Road 60 E , Lake Wales FL 33853-4322. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nagib, Issac can be contacted via phone (863) 676-8300.Contact Information
Primary practice address
1342 State Road 60 E
Lake Wales FL 33853-4322
Phone: (863) 676-8300
Fax: (863) 676-1300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT3913 | Florida |
Profile Details
| NPI number | 1861442857 |
|---|---|
| LBN Legal business name | Nagib, Issac |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Apr 10th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861442857 | NPPES |
| Florida | MEDICAID | 888102200 |
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