Provider Demographics
NPI:1558822502
Name:ESMERAL, NATHALIA (DPM)
Entity type:Individual
Prefix:DR
First Name:NATHALIA
Middle Name:
Last Name:ESMERAL
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15815 SHADDOCK DR STE 130
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-5773
Mailing Address - Country:US
Mailing Address - Phone:813-549-5678
Mailing Address - Fax:813-701-9132
Practice Address - Street 1:4700 N HABANA AVE STE 400
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7119
Practice Address - Country:US
Practice Address - Phone:813-499-0774
Practice Address - Fax:813-701-9132
Is Sole Proprietor?:No
Enumeration Date:2019-03-30
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO4352213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery