Provider Demographics
NPI:1609004050
Name:MUNOZ-SIEVERT, NATALIE YAOSKA (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:YAOSKA
Last Name:MUNOZ-SIEVERT
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 1:4137 HUNTERS PARK LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-7669
Mailing Address - Country:US
Mailing Address - Phone:407-304-1730
Mailing Address - Fax:407-304-1733
Practice Address - Street 1:4137 HUNTERS PARK LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7669
Practice Address - Country:US
Practice Address - Phone:407-304-1730
Practice Address - Fax:407-304-1733
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME114997207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009089400Medicaid
HK084ZMedicare PIN