# NATUS PELOTON INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336508100
- **Authorized official:** PATRICIA SHAPPELL (MANAGING EMPLOYEE)
- **Authorized official phone:** (949) 713-3998

## Contact information

- **Practice address:** 12301 LAKE UNDERHILL RD STE 110, ORLANDO, FL 32828-4509
- **Practice address phone:** (949) 713-3998
- **Practice address fax:** (949) 713-2931
- **Mailing address:** PO BOX 3606, CAROL STREAM, IL 60132-3606
- **Mailing address phone:** (949) 713-3998
- **Mailing address fax:** (949) 713-2931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2016
- **Last updated:** 05/15/2019