Organization Active NPI

Mahmoud a Nimer MD PA

  • Cardiovascular Disease Physician
  • Brooksville, FL
National Provider Identifier
1396703195
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0066235 Issued in FL
Legal business name
MAHMOUD A NIMER MD PA
Practice address
14540 Cortez Blvd
Suite # 113
Brooksville, FL 34613-6056
Phone
(352) 596-4022
Fax
(352) 596-9851
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mahmoud A Nimer, M.D.
Title
Owner/Medical Director
Phone
(352) 596-4022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME0066235 FL Primary

Addresses

Primary practice location

14540 Cortez Blvd
Suite # 113
Brooksville, FL 34613-6056

Mailing address

14540 Cortez Blvd
Suite # 113
Brooksville, FL 34613-6056
Phone (352) 596-4022

National Provider Directory

National Provider Directory

Locations

14540 Cortez Blvd
Ste 113
Brooksville, FL 34613
Phone (352) 596-4022

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1396703195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 CORTEZ BLVD",
            "address_2": "SUITE # 113",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136056",
            "telephone_number": "352-596-4022",
            "fax_number": "352-596-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 CORTEZ BLVD",
            "address_2": "SUITE # 113",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136056",
            "telephone_number": "352-596-4022",
            "fax_number": "352-596-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHMOUD A NIMER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "NIMER",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-596-4022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0066235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.