Doctor Name: | DR. STEPHEN LOUIS NEMEROFSKY |
NPI Number: | 1245264001 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 19488 |
Business Practice Address: | 1111 Hypoluxo Rd Suite 107 Lantana, FL - 334624271 |
Business Phone Number: | 5615863400 |
Business Fax Number: | 5615850079 |
Mailing Address: | 1111 Hypoluxo Rd, Suite 107 LANTANA |
State: | FL |
Postal Code: | 334624271 |
Phone Number: | 5615863400 |
Fax Number: | 5615850079 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 09/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | 19488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |