Nelson, Robert Samuel

Nelson, Robert Samuel is an sole proprietor health care provider with primary practice located at 8546 Nw 18Th Pl , Coral Springs FL 33071-6149. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Nelson, Robert Samuel can be contacted via phone (954) 575-9456.

Contact Information

Primary practice address
8546 Nw 18Th Pl Coral Springs FL 33071-6149
Phone: (954) 575-9456
Fax: (954) 575-9456
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO0002554 Florida

Profile Details

NPI number 1053313783
LBN Legal business name Nelson, Robert Samuel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Jul 21st, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053313783 NPPES
Florida Other 65449 MEDICARE ID
Florida MEDICAID 390294301 MEDICARE ID

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