MEDICARE: THE NATURAL HEART CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	ARNP3204832	FL

General Provider Information

NPI Number	:	1972809374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NATURAL HEART CENTER INC

Provider Business Mailing Address
First Line	:	602 S AUDUBON AVE
Second Line	:	SUITE B
City	:	TAMPA
State	:	FL
Zip	:	33609-4217
Country	:	US
Telephone Number	:	813-361-8656
Fax Number	:	813-385-9321

Provider Business Practice Location Address
First Line	:	602 S AUDUBON AVE
Second Line	:	SUITE B
City	:	TAMPA
State	:	FL
Zip	:	33609-4217
Country	:	US
Telephone Number	:	813-361-8656
Fax Number	:	813-385-9321

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KIMBERLY DAVIS-BRASWELL
Credential	:	ARNP
Telephone Number	:	813-361-8656

Provider Enumeration Date	:	02/02/2011
Last Update Date	:	02/02/2011

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Directions to “THE NATURAL HEART CENTER INC ” Practice Location

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