Provider Demographics
NPI:1932104940
Name:DOYLE, NATALIE A (MD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:A
Last Name:DOYLE
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 1:1395 NW 167TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5710
Mailing Address - Country:US
Mailing Address - Phone:904-559-1844
Mailing Address - Fax:
Practice Address - Street 1:9422 ARLINGTON EXPY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-8231
Practice Address - Country:US
Practice Address - Phone:904-559-1844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME152328207R00000X
NC9800846207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7479OtherCIGNA
NC891154RMedicaid
NC97560OtherMEDCOST
NC1154ROtherBCBSNC
NC0456366OtherUNITEDHEALTHCARE
NC1154ROtherBCBSNC
NCG76505Medicare UPIN
NC97560OtherMEDCOST