Provider Demographics
NPI:1083880926
Name:FLEISCHNER, NATHANIEL P (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:P
Last Name:FLEISCHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11700 OKEECHOBEE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8721
Mailing Address - Country:US
Mailing Address - Phone:561-790-0789
Mailing Address - Fax:561-790-3884
Practice Address - Street 1:11700 OKEECHOBEE BLVD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-8721
Practice Address - Country:US
Practice Address - Phone:561-790-0789
Practice Address - Fax:561-790-3884
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME105685207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001631600Medicaid
FL001631600Medicaid