Individual
DR. IAN T. NATHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 S ORANGE AVE, SUITE 100, ORLANDO, FL 32806-2944
(407) 650-7000
(407) 650-7124
Mailing address
NEMOURS CHILDREN&APOS S CLINIC, PO BOX 409992, ATLANTA, GA 30384-0001
(904) 390-3610
(904) 288-5890
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
ME55343
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061890000
—
FL
05
—
1528293
—
LA
Enumeration date
08/29/2006
Last updated
04/24/2008
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