Provider Demographics
NPI:1508840430
Name:NASIFF, LUIS S (MD)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:S
Last Name:NASIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1321 NW 14TH ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1673
Mailing Address - Country:US
Mailing Address - Phone:305-325-4410
Mailing Address - Fax:305-325-4405
Practice Address - Street 1:1321 NW 14TH ST
Practice Address - Street 2:SUITE 402
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1673
Practice Address - Country:US
Practice Address - Phone:305-325-4410
Practice Address - Fax:305-325-4405
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2008-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 57104207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL273970400Medicaid
FLE30021Medicare UPIN
FL273970400Medicaid
FLP00369315Medicare PIN