Provider Demographics
NPI:1326500570
Name:VORA, NISHIT (DPM, MPH)
Entity Type:Individual
Prefix:
First Name:NISHIT
Middle Name:
Last Name:VORA
Suffix:
Gender:M
Credentials:DPM, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2039
Mailing Address - Country:US
Mailing Address - Phone:954-370-2400
Mailing Address - Fax:954-370-2459
Practice Address - Street 1:201 N UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 110
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2039
Practice Address - Country:US
Practice Address - Phone:954-370-2400
Practice Address - Fax:954-370-2459
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO4413213E00000X, 213ES0000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine