Individual
NATALYS C BODDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9330 NW 25TH ST, DORAL, FL 33172-1504
(786) 213-1049
Mailing address
79 SW 12TH ST APT 3106, MIAMI, FL 33130-5210
(786) 213-1049
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11033193
FL
Other
Enumeration date
06/06/2024
Last updated
02/13/2025
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