Provider Demographics
NPI:1306212873
Name:FINDLATER, NATHALIE ELIZABETH (OD)
Entity Type:Individual
Prefix:DR
First Name:NATHALIE
Middle Name:ELIZABETH
Last Name:FINDLATER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 E, FL-100
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164
Mailing Address - Country:US
Mailing Address - Phone:954-663-0287
Mailing Address - Fax:
Practice Address - Street 1:5100 E, FL-100
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164
Practice Address - Country:US
Practice Address - Phone:954-663-0287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015029612152W00000X, 152WP0200X
FLOPC5261152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1306212873Medicaid
FL019222100Medicaid
MO1306212873Medicaid
FL019222100Medicaid