Provider Demographics
NPI:1861577728
Name:NAGLER, JOEL ARNOLD (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:ARNOLD
Last Name:NAGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1688 MERIDIAN AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2717
Mailing Address - Country:US
Mailing Address - Phone:305-673-9349
Mailing Address - Fax:305-673-0758
Practice Address - Street 1:1688 MERIDIAN AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2710
Practice Address - Country:US
Practice Address - Phone:305-673-9349
Practice Address - Fax:305-673-0758
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL037971207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL95921Medicare ID - Type Unspecified
FLD82645Medicare UPIN