Individual
HARING J.W. NAUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5138 55TH STREET CIR W, BRADENTON, FL 34210-4923
(409) 599-7551
Mailing address
5138 55TH STREET CIR W, BRADENTON, FL 34210-4923
(409) 599-7551
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G2443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125246203
—
TX
Enumeration date
09/22/2006
Last updated
03/10/2009
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