Nisenbaum, Robert

Nisenbaum, Robert is an individual health care provider with primary practice located at 3319 State Road 7 102, Wellington FL 33449-8094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Nisenbaum, Robert can be contacted via phone (561) 333-4000.

Contact Information

Primary practice address
3319 State Road 7 102 Wellington FL 33449-8094
Phone: (561) 333-4000
Fax: (561) 333-8851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS6753 Florida

Profile Details

NPI number 1144216664
LBN Legal business name Nisenbaum, Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Feb 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144216664 NPPES
Florida MEDICAID 250058200

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