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NPI Code Detail

MEDICARE: NATALIE CAROL MUNDY

MEDICARE: NATALIE CAROL MUNDY
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
1235Z00000XSpeech-Language PathologistSA5506FL

General Provider Information

NPI Number : 1538281795
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE CAROL MUNDY
Provider Business Mailing Address
First Line : 112 ALTON ST
Second Line :
City : DAVENPORT
State : FL
Zip : 33897-4421
Country : US
Telephone Number : 863-420-2189
Fax Number :
Provider Business Practice Location Address
First Line : 409 S 10TH ST
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-5603
Country : US
Telephone Number : 863-422-8656
Fax Number : 863-422-4379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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Directions to “ NATALIE CAROL MUNDY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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