Doctor Name: | DR. BORIS DALTON NUNEZ |
NPI Number: | 1396723417 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME69460 |
Business Practice Address: | 320 State Road 60 E Lake Wales, FL - 338533750 |
Business Phone Number: | 8636797985 |
Business Fax Number: | 8636791865 |
Mailing Address: | 320 State Road 60 E, LAKE WALES |
State: | FL |
Postal Code: | 338533750 |
Phone Number: | 8636797985 |
Fax Number: | 8636791865 |
NPI Enumeration Date: | 01/09/2006 |
NPI Last Update Date: | 05/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | ME69460 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |