Provider Demographics
NPI:1881880185
Name:JAIME P NAHMIAS MD PA
Entity type:Organization
Organization Name:JAIME P NAHMIAS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAHMIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-271-3502
Mailing Address - Street 1:7000 SW 97TH AVE
Mailing Address - Street 2:SUITE 214
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1494
Mailing Address - Country:US
Mailing Address - Phone:305-271-2511
Mailing Address - Fax:305-271-2486
Practice Address - Street 1:7000 SW 97TH AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1494
Practice Address - Country:US
Practice Address - Phone:305-271-2511
Practice Address - Fax:305-271-2486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0063722174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL25565OtherFLORIDA BLUE SHIELD
FLK9277Medicare PIN