KENNETH RICHARD NISSIM

MIAMI, FL
NPI1447246392
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: FL  ME85561)
Additional Taxonomies207YS0012X 
(Licence: FL  ME85561)
Enumeration Date2005-09-26
Last Update Date2012-03-27
Business Address
-- KENNETH RICHARD NISSIM M.D.
8932 SW 97TH AVE
MIAMI, FL 33176-1936
Phone number: 305-270-3740
Mailing Address
-- KENNETH RICHARD NISSIM M.D.
1120 NW 14TH ST 5TH FLOOR
MIAMI, FL 33136-2107
Phone number: 305-243-3564
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