Doctor Name: | DR. DONOFFA NELSON |
NPI Number: | 1487027637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O |
License Number: | OS13504 |
Business Practice Address: | 39200 Hooker Hwy Belle Glade, FL - 334305368 |
Business Phone Number: | 5619966571 |
Business Fax Number: | |
Mailing Address: | 11916 Sw 12th St, PEMBROKE PINES |
State: | FL |
Postal Code: | 330253700 |
Phone Number: | 7886447998 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2015 |
NPI Last Update Date: | 11/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | OS13504 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |