Provider Demographics
NPI:1669822854
Name:OUDIN, NATHALIE (DVM)
Entity Type:Individual
Prefix:DR
First Name:NATHALIE
Middle Name:
Last Name:OUDIN
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8302 S DIXIE HWY
Mailing Address - Street 2:BANFIELD PET HOSPITAL - DADELAND #2440
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8302 S DIXIE HWY
Practice Address - Street 2:BANFIELD PET HOSPITAL - DADELAND #2440
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-7714
Practice Address - Country:US
Practice Address - Phone:305-669-4982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLVM13669284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital