Healthcare Provider Details

I. General information

NPI: 1699682922
Provider Name (Legal Business Name): NATALIE VERONICA BRONZATTI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8999 NW 171ST ST
HIALEAH FL
33018-6642
US

IV. Provider business mailing address

8999 NW 171ST ST
HIALEAH FL
33018-6642
US

V. Phone/Fax

Practice location:
  • Phone: 786-514-0659
  • Fax:
Mailing address:
  • Phone: 786-514-0659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11050297
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: