Active NPI
Nasir Nabial
- Intermediate Emergency Medical Technician
- Lakeland, FL
National Provider Identifier
1770125551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- E3436740
- Practice address
- 1885 Via Lago Dr
Lakeland, FL 33810-2418 - Phone
- (863) 354-1333
- NPI assigned
- Oct 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | E3436740 | FL | Primary |
Addresses
Primary practice location
1885 Via Lago Dr
Lakeland, FL 33810-2418
Mailing address
5337 N Socrum Loop Rd Ste 310
Lakeland, FL 33809-4256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3436740 | FL | MD | Intermediate Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570924800000",
"number": "1770125551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5337 N SOCRUM LOOP RD STE 310",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338094256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 VIA LAGO DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338102418",
"telephone_number": "863-354-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NABIAL",
"first_name": "NASIR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-13",
"last_updated": "2019-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Intermediate",
"state": "FL",
"license": "E3436740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.