Provider Demographics
NPI:1457892671
Name:BEER, NUSEN (MD)
Entity Type:Individual
Prefix:
First Name:NUSEN
Middle Name:
Last Name:BEER
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 1:20200 W DIXIE HWY STE 701
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1920
Mailing Address - Country:US
Mailing Address - Phone:305-816-6480
Mailing Address - Fax:305-816-6373
Practice Address - Street 1:20200 W DIXIE HWY STE 701
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:305-816-6480
Practice Address - Fax:305-816-6373
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-20
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME131376207RC0000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease