Via Y Rada, Nestor G

Via Y Rada, Nestor G is an individual health care provider with primary practice located at 180 Jfk Dr Ste 320 , Atlantis FL 33462-6641. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Via Y Rada, Nestor G can be contacted via phone (561) 548-4900.

Contact Information

Primary practice address
180 Jfk Dr Ste 320 Atlantis FL 33462-6641
Phone: (561) 548-4900
Fax: (561) 434-5165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101346 Florida

Profile Details

NPI number 1255409959
LBN Legal business name Via Y Rada, Nestor G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated May 25th, 2021 - about 3 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 1255409959 NPPES
Florida Other PA9101346 LICENSE

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