MEDICARE: FRANKLIN C NATH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME44940	FL

General Provider Information

NPI Number	:	1417064338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANKLIN C NATH MD

Provider Business Mailing Address
First Line	:	1226 SW 3RD AVENUE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33315-1507
Country	:	US
Telephone Number	:	954-763-1002
Fax Number	:	954-200-7786

Provider Business Practice Location Address
First Line	:	1226 SW 3RD AVENUE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33315-1507
Country	:	US
Telephone Number	:	954-763-1002
Fax Number	:	954-200-7786

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	09/12/2012

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