Provider Demographics
NPI:1497970750
Name:KUWIK, NATALIE M (LMT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:M
Last Name:KUWIK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2374 YALTA TER
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34286-6733
Mailing Address - Country:US
Mailing Address - Phone:941-429-2382
Mailing Address - Fax:
Practice Address - Street 1:2374 YALTA TER
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34286-6733
Practice Address - Country:US
Practice Address - Phone:941-429-2382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA31074174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA31074OtherL.M.T