Healthcare Provider Details

I. General information

NPI: 1548066418
Provider Name (Legal Business Name): NATALIE BROOKE MIDKIFF APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 WINTER GARDEN VINELAND RD STE 201
WINDERMERE FL
34786-6098
US

IV. Provider business mailing address

5151 WINTER GARDEN VINELAND RD STE 201
WINDERMERE FL
34786-6098
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-4344
  • Fax: 321-842-9260
Mailing address:
  • Phone: 321-841-4344
  • Fax: 321-842-9260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11044106
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11044106
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: