Provider Demographics
NPI:1497156160
Name:HARVEY, NATALIA (PA-C)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 CORAL HILLS DR.
Mailing Address - Street 2:SUITE: 303
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065
Mailing Address - Country:US
Mailing Address - Phone:954-575-3911
Mailing Address - Fax:954-575-3938
Practice Address - Street 1:3100 CORAL HILLS DR STE 303
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4138
Practice Address - Country:US
Practice Address - Phone:954-575-3911
Practice Address - Fax:954-575-3938
Is Sole Proprietor?:No
Enumeration Date:2014-09-11
Last Update Date:2018-03-21
Deactivation Date:2018-02-14
Deactivation Code:
Reactivation Date:2018-03-06
Provider Licenses
StateLicense IDTaxonomies
FLPA9108112363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical