Healthcare Provider Details

I. General information

NPI: 1790636587
Provider Name (Legal Business Name): NATALIE PONS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE QUINN

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

PO BOX 100264
GAINESVILLE FL
32610-0264
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-9465
  • Fax: 352-265-9466
Mailing address:
  • Phone: 352-273-5199
  • Fax: 352-392-6781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11045145
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11045145
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: