Individual
NATACCIA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21929 SW 93RD PL, CUTLER BAY, FL 33190-1231
(786) 762-6931
Mailing address
21929 SW 93RD PL, CUTLER BAY, FL 33190-1231
(786) 762-6931
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11008136
FL
Other
Enumeration date
09/10/2020
Last updated
09/18/2020
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