MEDICARE: DR. NATHALIE OUDIN DVM

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	284300000X	Special Hospital	VM13669	FL

General Provider Information

NPI Number	:	1669822854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHALIE OUDIN DVM

Provider Business Mailing Address
First Line	:	8302 S DIXIE HWY
Second Line	:	BANFIELD PET HOSPITAL - DADELAND #2440
City	:	MIAMI
State	:	FL
Zip	:	33143-7714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8302 S DIXIE HWY
Second Line	:	BANFIELD PET HOSPITAL - DADELAND #2440
City	:	MIAMI
State	:	FL
Zip	:	33143-7714
Country	:	US
Telephone Number	:	305-669-4982
Fax Number	:

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

Provider Enumeration Date	:	06/17/2016
Last Update Date	:	06/17/2016

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