Provider Demographics
NPI:1689734295
Name:MASTER, NALIN T (MD)
Entity Type:Individual
Prefix:
First Name:NALIN
Middle Name:T
Last Name:MASTER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5200 TAMIAMI TRL N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-2817
Mailing Address - Country:US
Mailing Address - Phone:239-263-6766
Mailing Address - Fax:239-263-3320
Practice Address - Street 1:5200 TAMIAMI TRL N
Practice Address - Street 2:SUITE 201
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-2817
Practice Address - Country:US
Practice Address - Phone:239-263-6766
Practice Address - Fax:239-263-3320
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0037856208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066859100Medicaid
FLD58892Medicare UPIN
FL79701Medicare ID - Type Unspecified