Healthcare Provider Details

I. General information

NPI: 1093712176
Provider Name (Legal Business Name): BARTHOLOMEW F NATOLI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9009 PARK BLVD
SEMINOLE FL
33777-4152
US

IV. Provider business mailing address

9009 PARK BLVD
SEMINOLE FL
33777-4152
US

V. Phone/Fax

Practice location:
  • Phone: 727-391-6650
  • Fax:
Mailing address:
  • Phone: 727-391-6650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME55345
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: