Audwin B Nelson MD P A

Internal Medicine in Sebring, FL. Organization (NPI-2).

NPI number1104064245

StatusActive

Last updated in NPPESOct 6, 2010

Details

NPI: 1104064245
Entity type: Organization (NPI-2)
Legal business name: Audwin B Nelson MD P A
Organization subpart: No
Enumeration date: Jan 28, 2009
Last updated: Oct 6, 2010

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	ME86834	FL	Yes

Practice location

4215 Sun N Lake Blvd
Sebring, FL 33872-2158

Phone 863-471-2320 · Fax 863-471-2101

Mailing address

4215 Sun N Lake Blvd
Sebring, FL 33872-2158

Phone 863-471-2320 · Fax 863-471-2101

Authorized official

Audwin Bruce Nelson
President
8634712320

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