Provider Demographics
NPI:1780900159
Name:NELSON PRESCHEL., M.D., P.A.
Entity type:Organization
Organization Name:NELSON PRESCHEL., M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-457-3792
Mailing Address - Street 1:17900 NW 5TH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-2809
Mailing Address - Country:US
Mailing Address - Phone:305-222-7082
Mailing Address - Fax:305-515-5606
Practice Address - Street 1:17900 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-2808
Practice Address - Country:US
Practice Address - Phone:305-222-7082
Practice Address - Fax:305-515-5606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-10
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82083207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty