Individual
NATASHA ISAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4972 TOWN CENTER PKWY STE 301, JACKSONVILLE, FL 32246
(904) 642-6100
(904) 642-5154
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(904) 642-6100
(904) 642-5154
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9345223
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100446200
—
FL
Enumeration date
03/13/2017
Last updated
10/29/2018
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