Nieves, Nelson Antonio

Nieves, Nelson Antonio is an individual health care provider with primary practice located at 45669 Highway 27 , Davenport FL 33897-4546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nieves, Nelson Antonio can be contacted via phone (407) 438-5858.

Contact Information

Primary practice address
45669 Highway 27 Davenport FL 33897-4546
Fax: (407) 438-7172
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME65432 Florida

Profile Details

NPI number 1841327236
LBN Legal business name Nieves, Nelson Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Apr 23rd, 2020 - about 4 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 1841327236 NPPES
Florida MEDICAID 001399200

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