Provider Demographics
NPI:1811326150
Name:SUBNAIK, NADIA (OTR/L)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:SUBNAIK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2685 PATRICIAN CIR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-3295
Mailing Address - Country:US
Mailing Address - Phone:412-716-8433
Mailing Address - Fax:
Practice Address - Street 1:448 W DONEGAN AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2335
Practice Address - Country:US
Practice Address - Phone:407-852-3300
Practice Address - Fax:407-932-3480
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT16019174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist