Provider Demographics
NPI:1669732236
Name:NAGIB, NAHED AZMY (MD)
Entity type:Individual
Prefix:DR
First Name:NAHED
Middle Name:AZMY
Last Name:NAGIB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2341 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-4979
Mailing Address - Country:US
Mailing Address - Phone:863-382-6181
Mailing Address - Fax:
Practice Address - Street 1:3015 HERRING AVE
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1067
Practice Address - Country:US
Practice Address - Phone:863-471-1870
Practice Address - Fax:863-382-3324
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94974208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice