Individual
DR. NATAN BASTOKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10139 NW 31ST ST STE 202, CORAL SPRINGS, FL 33065-3908
(954) 755-6100
(954) 345-3754
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 755-6100
(954) 345-3754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15852
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS15852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111111700
—
FL
Enumeration date
07/22/2018
Last updated
03/12/2026
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