Provider Demographics
NPI:1861643629
Name:NEZGODA, JOSEPH (M D)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:NEZGODA
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 N FLAGLER DR STE 4000
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3411
Mailing Address - Country:US
Mailing Address - Phone:561-832-6113
Mailing Address - Fax:888-366-1852
Practice Address - Street 1:1411 N FLAGLER DR STE 4000
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3411
Practice Address - Country:US
Practice Address - Phone:561-832-6113
Practice Address - Fax:888-366-1852
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME124278207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology