Healthcare Provider Details

I. General information

NPI: 1114880515
Provider Name (Legal Business Name): NATASHA DESIREE TONTI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 14TH ST STE 309
MIAMI FL
33136-2114
US

IV. Provider business mailing address

1150 NW 14TH ST STE 309
MIAMI FL
33136-2114
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-6090
  • Fax: 305-243-6597
Mailing address:
  • Phone: 305-243-6090
  • Fax: 305-243-6597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11044006
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: