Doctor Name: | SHAUN NAZAR |
NPI Number: | 1104208099 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS13600 |
Business Practice Address: | 39200 Hooker Hwy Belle Glade, FL - 334305368 |
Business Phone Number: | 5619965154 |
Business Fax Number: | |
Mailing Address: | 39200 Hooker Hwy, BELLE GLADE |
State: | FL |
Postal Code: | 334305368 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/26/2015 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | OS13600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |