Healthcare Provider Details

I. General information

NPI: 1629403464
Provider Name (Legal Business Name): NATALIE GRACE MONTALDI MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2013
Last Update Date: 05/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 MAITLAND CENTER COMMONS BLVD #212
MAITLAND FL
32751-7270
US

IV. Provider business mailing address

892 LITTLE BEND RD
ALTAMONTE SPRINGS FL
32714-7535
US

V. Phone/Fax

Practice location:
  • Phone: 407-636-3530
  • Fax:
Mailing address:
  • Phone: 423-994-0119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: