NIDAL B RADWAN (NPI# 1902856875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902856875 |
| Entity Type | Individual |
| Full Name | NIDAL B RADWAN |
| Credential | M.D |
| Practice Address |
1380 Ne Miami Gardens Dr Ste 138 North Miami Beach FL 33179-4707 |
| Mailing Address |
18100 Ne 19th Ave Suite 102 North Miami Beach FL 33162 |
| Practice Telephone | 3059488900 |
| Mailing Telephone | 3059488900 |
| Mailing Fax Number | 3059483911 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 193400000X | Single Specialty | ME71068 | FL | Group |
| N | 207Q00000X | Family Medicine | ME0071068 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 254331100 | 05 |
| Street Address |
1380 NE MIAMI GARDENS DR STE 138 |
| City | NORTH MIAMI BEACH |
| State | FL |
| Zip Code | 33179-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283720 | Comprehensive Breast Care Centers | Clinic/Center | 1380 Ne Miami Gardens Dr, Ste 105, North Miami Beach, FL 33179-4708 | 2005-05-24 |
| 1700416377 | Leidy Marcela Henao | Nurse Practitioner | 1380 Ne Miami Gardens Dr, North Miami Beach, FL 33179-4707 | 2020-01-22 |
| 1235797952 | Chivonne Henry | Marriage & Family Therapist | 1380 Ne Miami Gardens Dr, North Miami Beach, FL 33179-4707 | 2019-05-29 |
| 1295260974 | Healing Solution Center L | Clinical Medical Laboratory | 1380 Ne Miami Gardens Dr, North Miami Beach, FL 33179-4707 | 2017-05-01 |
| 1982137949 | Laura Judith Wizelman | Counselor | 1380 Ne Miami Gardens Dr, Room 206, North Miami Beach, FL 33179 | 2017-04-06 |
| 1467993733 | Healing Medical Solutions LLC | Psychiatry & Neurology | 1380 Ne Miami Gardens Dr, Ste 130, North Miami Beach, FL 33179-4707 | 2017-03-20 |
| 1548701113 | Healing Solution Center LLC | Clinic/Center | 1380 Ne Miami Gardens Dr, Suite 138, North Miami Beach, FL 33179-4707 | 2017-03-16 |
| 1376096131 | Ss Counseling Inc | Social Worker | 1380 Ne Miami Gardens Dr, Suite #271, North Miami Beach, FL 33179-4707 | 2016-07-28 |
| 1467812321 | Rosario Garrido | Marriage & Family Therapist | 1380 Ne Miami Gardens Dr, Suite 206, North Miami Beach, FL 33179-4707 | 2016-03-03 |
| 1750770509 | North Miami Vascular Care LLC | Surgery | 1380 Ne Miami Gardens Dr, Suite 240, North Miami Beach, FL 33179-4707 | 2015-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619531365 | Bianca Dorce | Nurse Practitioner | 20036 Ne 2nd Pl, Miami, FL 33179 | 2019-04-29 |
| 1790254027 | Linda Rachel Topel | Family Medicine | 1911 Ne 197 Terrace, North Miami Beach, FL 33179 | 2018-11-15 |
| 1427542356 | Arianne Monal | Assistant Behavior Analyst | 447 Ne 210th Circle Ter Apt 202, Miami, FL 33179 | 2018-06-14 |
| 1588152268 | Carvil's Professional Service | Case Management | 1311 Ne 210 Ter, Miami, FL 33179 | 2018-04-27 |
| 1407363997 | Martha Acosta | Behavioral Analyst | 1160 Ne 214th St, Miami, FL 33179 | 2018-01-05 |
| 1730698697 | Jacqueline Stone | Dietitian, Registered | 1895 Ne 197th Ter, Miami, FL 33179 | 2017-09-23 |
| 1912420647 | Barbara Ann Hunter | Social Worker | 20170 Ne 3 Court Unit 1, Miami, FL 33179 | 2017-07-25 |
| 1356875660 | Germanie Marlene Casanova | Counselor | 1300 Ne 204 Street, Miami, FL 33179 | 2017-04-13 |
| 1164962494 | Lilliana Vazquez-rivera Md LLC | Internal Medicine | 382 Ne 191st St, #74432, Miami, FL 33179 | 2017-03-06 |
| 1437606027 | Marjorie Jadotte | Nurse Practitioner | 20826 San Simeon Way Unit 51 L, North Miami Beach, FL 33179 | 2016-09-01 |
| Find all providers in zip 33179 | ||||
| Taxonomy Code | 193400000X |
| Grouping | Group |
| Classification | Single Specialty |
| A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285814541 | Murali Krishna Maddipati | Single Specialty | 4719 Highway 90, Marianna, FL 32446-7839 | 2007-11-05 |
| 1215138300 | Heather Forte | Single Specialty | 4327 S. Hwy 27, Pmb 203, Clermont, FL 34711 | 2007-05-29 |
| 1942675913 | Margaret Angel Caruso-doerr | Single Specialty | 5327 Commercial Way, Ste B108, Spring Hill, FL 34606-1499 | 2015-12-02 |
| City | NORTH MIAMI BEACH |
| Zip Code | 33179 |
Please comment or provide details below to improve the information on NIDAL B RADWAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.