Individual
NATHANIEL OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 206, DAYTONA BEACH, FL 32117-5169
(863) 231-4450
(863) 231-4456
Mailing address
115 EILEEN WAY, SYOSSET, NY 11791-5323
(516) 795-3033
(516) 590-7684
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
81438
MN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
25MB12787200
NJ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
OS17563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528412236
—
PA
Enumeration date
04/19/2016
Last updated
12/21/2025
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