Provider Demographics
NPI:1669974002
Name:NADER, HAL
Entity type:Individual
Prefix:
First Name:HAL
Middle Name:
Last Name:NADER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 WATERWAY VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-2170
Mailing Address - Country:US
Mailing Address - Phone:407-949-7640
Mailing Address - Fax:
Practice Address - Street 1:903 WATERWAY VILLAGE CT
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33413-2170
Practice Address - Country:US
Practice Address - Phone:407-949-7640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician