| Doctor Name: | STUART J NESBITT |
| NPI Number: | 1134141252 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA0001776 |
| Business Practice Address: | 5601 N Dixie Hwy Suite 209 Oakland Park, FL - 333344148 |
| Business Phone Number: | 9549427083 |
| Business Fax Number: | 9544912628 |
| Mailing Address: | 5601 N Dixie Hwy, Suite 209 OAKLAND PARK |
| State: | FL |
| Postal Code: | 333344148 |
| Phone Number: | 9549427083 |
| Fax Number: | 9544912628 |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA0001776 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |