Basic Information
Provider Information
NPI: 1932205333
EntityType: 2
ReplacementNPI:  
OrganizationName: ANTONI NEJMAN MD PA
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 40 NE 2ND AVE
Address2:  
City: DEERFIELD BEACH
State: FL
PostalCode: 334413504
CountryCode: US
TelephoneNumber: 9544268840
FaxNumber: 9544266642
Practice Location
Address1: 800 MEADOWS RD
Address2:  
City: BOCA RATON
State: FL
PostalCode: 334862304
CountryCode: US
TelephoneNumber: 5613957100
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/15/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: NEJMAN
AuthorizedOfficialFirstName: ANTONI
AuthorizedOfficialMiddleName: M
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 9544268840
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD PA
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XME0059283FLY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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