Provider Demographics
NPI:1962429555
Name:SADER, CAMIL NABIH (MD)
Entity type:Individual
Prefix:DR
First Name:CAMIL
Middle Name:NABIH
Last Name:SADER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3467 W HILLSBORO BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-9473
Mailing Address - Country:US
Mailing Address - Phone:954-574-0252
Mailing Address - Fax:954-429-1759
Practice Address - Street 1:3467 W HILLSBORO BLVD
Practice Address - Street 2:STE B
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-9473
Practice Address - Country:US
Practice Address - Phone:954-574-0252
Practice Address - Fax:954-429-1759
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME86120208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL291438OtherAVMED
FL274718900Medicaid
FL81184OtherBCBS OF FLORIDA
FL291438OtherAVMED
FL81184XMedicare PIN