Provider Demographics
NPI:1922264290
Name:NATTER, KARL MARTIN (RPH)
Entity Type:Individual
Prefix:MR
First Name:KARL
Middle Name:MARTIN
Last Name:NATTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17719 BRIDLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-5075
Mailing Address - Country:US
Mailing Address - Phone:941-296-6969
Mailing Address - Fax:
Practice Address - Street 1:14415 ARBOR GREEN TRL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-8409
Practice Address - Country:US
Practice Address - Phone:941-739-5752
Practice Address - Fax:941-739-5802
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0024624183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist