Provider Demographics
NPI:1790782365
Name:ADSUAR, NATALIE (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:ADSUAR
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 1:1739 LAUREL GLEN PL
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-5419
Mailing Address - Country:US
Mailing Address - Phone:203-313-9692
Mailing Address - Fax:
Practice Address - Street 1:1739 LAUREL GLEN PL
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-5419
Practice Address - Country:US
Practice Address - Phone:203-313-9692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT042560207V00000X
FLME128812207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
042560OtherCONNECTICARE
I09985Medicare UPIN
0Q3193OtherHEALTHNET
CT16000218Medicare ID - Type Unspecified
CT01425603Medicaid
3646923OtherAETNA
7475027OtherCIGNA
I09985OtherUPIN
P3364233OtherOXFORD HEALTH PLAN
2473478OtherUNITED HEALTHCARE
P00190462OtherMEDICARE RAILROAD
CT010042560CT01OtherANTHEM BLUE CROSS