Organization · NPI-2

Abdul Nadeem, M.D.LLC

Clinic/Center, Adult Mental Health · Bradenton, FL

NPI number1023337623
StatusActive
Last updated in NPPESSep 25, 2012

Details

NPI
1023337623
Entity type
Organization (NPI-2)
Legal business name
Abdul Nadeem, M.D.LLC
Organization subpart
No
Enumeration date
May 20, 2010
Last updated
Sep 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental HealthME79513FLYes

Practice location

7015 Gosling Ter
Bradenton, FL 34203-8027

Phone 941-313-0084

Mailing address

7015 Gosling Ter
Bradenton, FL 34203-8027

Phone 941-313-0084

Authorized official

Abdul Nadeem
Owner
9413130084

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