Provider Demographics
NPI:1346288479
Name:DAVID NEHME PA
Entity Type:Organization
Organization Name:DAVID NEHME PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:NEHME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-781-9922
Mailing Address - Street 1:528 SE OSCEOLA ST
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2366
Mailing Address - Country:US
Mailing Address - Phone:772-781-9922
Mailing Address - Fax:772-781-9933
Practice Address - Street 1:528 SE OSCEOLA ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2366
Practice Address - Country:US
Practice Address - Phone:772-781-9922
Practice Address - Fax:772-781-9933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256006200Medicaid
FL256006200Medicaid