Provider Demographics
NPI:1336186915
Name:DROURR, NATHANIEL R (MD)
Entity Type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:R
Last Name:DROURR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 S OLD DIXIE HWY STE 302
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7202
Mailing Address - Country:US
Mailing Address - Phone:561-223-6288
Mailing Address - Fax:561-223-6266
Practice Address - Street 1:1002 S OLD DIXIE HWY STE 302
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7202
Practice Address - Country:US
Practice Address - Phone:561-223-6288
Practice Address - Fax:561-223-6266
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME72880207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL253301400Medicaid
FL21040OtherBCBS
FL253301400Medicaid
G61853Medicare UPIN