Individual
DR. RITA NATHAWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 253-1316
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-3660
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 114432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135356A
—
GA
05
—
008996000
—
FL
01
—
14QJ1
BCBS
FL
Enumeration date
04/01/2009
Last updated
06/14/2020
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