Doctor Name: | DR. ITZHAK NIR |
NPI Number: | 1124015482 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME70544 |
Business Practice Address: | 13005 Southern Blvd Suite 232 Loxahatchee, FL - 334709206 |
Business Phone Number: | 5617533331 |
Business Fax Number: | 5617533823 |
Mailing Address: | 13005 Southern Blvd, Suite 232 LOXAHATCHEE |
State: | FL |
Postal Code: | 334709206 |
Phone Number: | 5617533331 |
Fax Number: | 5617533823 |
NPI Enumeration Date: | 10/03/2005 |
NPI Last Update Date: | 02/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | ME70544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |