Provider Demographics
NPI:1790707024
Name:NASH, ERIC ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ALAN
Last Name:NASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18401 MURDOCK CIR UNIT A
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-1026
Mailing Address - Country:US
Mailing Address - Phone:941-629-3937
Mailing Address - Fax:941-627-2281
Practice Address - Street 1:18401 MURDOCK CIR UNIT A
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-1026
Practice Address - Country:US
Practice Address - Phone:941-629-3937
Practice Address - Fax:941-627-2281
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0070859207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG69398Medicare UPIN
FL43476Medicare ID - Type Unspecified