Provider Demographics
NPI:1588635668
Name:NAGOVSKI, NEIL (MD)
Entity Type:Individual
Prefix:MR
First Name:NEIL
Middle Name:
Last Name:NAGOVSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NAIL
Other - Middle Name:
Other - Last Name:NAGOVSKIY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:12741 MIRAMAR PKWY STE 306
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2905
Mailing Address - Country:US
Mailing Address - Phone:954-862-5300
Mailing Address - Fax:954-443-4747
Practice Address - Street 1:12741 MIRAMAR PKWY STE 306
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-2905
Practice Address - Country:US
Practice Address - Phone:954-862-5300
Practice Address - Fax:954-499-5556
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME106652207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI35960Medicare UPIN