Provider Demographics
NPI:1831936970
Name:SAKIB, MD NAZMUS
Entity type:Individual
Prefix:
First Name:MD
Middle Name:NAZMUS
Last Name:SAKIB
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 1:27 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-3103
Mailing Address - Country:US
Mailing Address - Phone:754-732-2177
Mailing Address - Fax:754-732-2225
Practice Address - Street 1:27 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-3103
Practice Address - Country:US
Practice Address - Phone:754-732-2177
Practice Address - Fax:754-732-2225
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029948363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily