Radwan, Nidal B
Radwan, Nidal B is an sole proprietor health care provider with primary practice located at 18100 Ne 19Th Ave Ste 102 , North Miami Beach FL 33162-1606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Radwan, Nidal B can be contacted via phone (754) 201-7029.Contact Information
Primary practice address
18100 Ne 19Th Ave Ste 102
North Miami Beach FL 33162-1606
Phone: (754) 201-7029
Fax: (305) 948-3934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME0071068 | Florida |
Profile Details
| NPI number | 1902856875 |
|---|---|
| LBN Legal business name | Radwan, Nidal B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Mar 11th, 2024 - about 8 months 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 | 1902856875 | NPPES |
| Florida | MEDICAID | 117166200 |
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