Individual
DR. NATHAN R BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 PRUDENTIAL DR, STE 1804, JACKSONVILLE, FL 32207
(904) 398-3888
(904) 400-6675
Mailing address
1824 KING ST STE 200, JACKSONVILLE, FL 32204-4736
(904) 384-3343
(904) 400-6671
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME99751
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280171000
—
FL
01
—
P00640795
MEDICARE RAILROAD
—
Enumeration date
04/07/2006
Last updated
03/31/2025
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