Individual
DR. NEIL NATKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2447 EAGLE RUN WAY, WESTON, FL 33327-1432
(954) 646-6761
(954) 389-2681
Mailing address
2447 EAGLE RUN WAY, WESTON, FL 33327-1432
(954) 646-6761
(954) 389-2681
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS4423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0467821
—
FL
01
—
80014
MEDICARE PARTICIPATING OR SUPPLIER AGREEMENT
FL
Enumeration date
05/06/2016
Last updated
05/06/2016
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