Provider Demographics
NPI:1477846004
Name:SPENCER, NATASHA L (MD)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:L
Last Name:SPENCER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 N SR 434 STE 1275
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-7057
Mailing Address - Country:US
Mailing Address - Phone:407-635-5518
Mailing Address - Fax:407-636-7877
Practice Address - Street 1:931 N SR 434 STE 1275
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-7057
Practice Address - Country:US
Practice Address - Phone:407-635-5518
Practice Address - Fax:407-636-7877
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME144076207V00000X
NC2015-02104207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2821596Medicare PIN