Healthcare Provider Details

I. General information

NPI: 1972445724
Provider Name (Legal Business Name): NATORI BARNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 POPE AVE NW STE 200
WINTER HAVEN FL
33881-4679
US

IV. Provider business mailing address

425 W COLONIAL DR STE 303
ORLANDO FL
32804-6863
US

V. Phone/Fax

Practice location:
  • Phone: 863-299-2630
  • Fax:
Mailing address:
  • Phone: 321-635-2190
  • Fax: 689-304-0303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11046639
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: