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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1902856875 NPPES
Florida MEDICAID 117166200

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