Provider Demographics
NPI:1366620866
Name:NIGEL A. SPIER MD LLC
Entity type:Organization
Organization Name:NIGEL A. SPIER MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIGEL
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:SPIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-518-0094
Mailing Address - Street 1:3990 SHERIDAN STREET
Mailing Address - Street 2:SUITE 207
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021
Mailing Address - Country:US
Mailing Address - Phone:954-518-0094
Mailing Address - Fax:954-518-0098
Practice Address - Street 1:3990 SHERIDAN ST
Practice Address - Street 2:SUITE 207
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021
Practice Address - Country:US
Practice Address - Phone:954-518-0094
Practice Address - Fax:954-518-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68472261QM2500X
FLME0068472207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG11158Medicare UPIN