Individual
NATALIE J WICHELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10729 QUEENS TOWN DR, RIVERVIEW, FL 33579-7186
(813) 672-3497
(813) 741-2418
Mailing address
720 BROOKER CREEK BLVD STE 215, OLDSMAR, FL 34677-2937
(813) 854-2003
(813) 436-5378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME162290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119669600
—
FL
Enumeration date
03/26/2020
Last updated
10/17/2023
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