Provider Demographics
NPI:1952727356
Name:NANO HEALTH ASSOCIATES LLC
Entity type:Organization
Organization Name:NANO HEALTH ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DO
Authorized Official - Prefix:DR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEYTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-760-8756
Mailing Address - Street 1:1674 MERIDIAN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2801
Mailing Address - Country:US
Mailing Address - Phone:305-760-8756
Mailing Address - Fax:305-760-8759
Practice Address - Street 1:1674 MERIDIAN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2801
Practice Address - Country:US
Practice Address - Phone:305-760-8756
Practice Address - Fax:305-760-8759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8861207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty