Provider Demographics
NPI:1497873111
Name:NUNEZ, NATALIE (LMT)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7184 N SERENOA DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-9270
Mailing Address - Country:US
Mailing Address - Phone:941-232-3622
Mailing Address - Fax:
Practice Address - Street 1:4370 S TAMIAMI TRL
Practice Address - Street 2:SUITE 314
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3412
Practice Address - Country:US
Practice Address - Phone:941-232-3622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLMT MA24645174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist