Individual provider · Type 1 NPI

Osvanny Nodal, MD

General Practice Physician · Tampa, FL

NPI number 1467859660 Active

Practice location

2123 West Martin Luther King Jr Blvd, Suite 101
Tampa, FL 33607

Fax (813) 405-4506

Mailing address

2123 W Dr Martin Luther King Jr Blvd Ste 101
Tampa, FL 33607-6545

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X18,942 (PR)
General Practice Physician Primary 208D00000XACN693 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1467859660

Osvanny Nodal, MD's National Provider Identifier is 1467859660, issued on Dec 3, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tampa, FL. The record was last updated on Oct 24, 2018.