Healthcare Provider Details

I. General information

NPI: 1194380907
Provider Name (Legal Business Name): NATALIE DONN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2019
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W 68TH ST STE 202
HIALEAH FL
33016-1898
US

IV. Provider business mailing address

2301 SW 27TH AVE APT 1502
MIAMI FL
33145-3674
US

V. Phone/Fax

Practice location:
  • Phone: 305-364-2107
  • Fax:
Mailing address:
  • Phone: 954-673-0059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberOS18714
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS18714
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: