Provider Demographics
NPI:1194897561
Name:SOHN, NATALIE SANDRA (MD)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:SANDRA
Last Name:SOHN
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 S STATE ROAD 7 STE 450
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-9328
Mailing Address - Country:US
Mailing Address - Phone:561-798-1233
Mailing Address - Fax:561-798-1655
Practice Address - Street 1:5507 S CONGRESS AVE STE 110A
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-1139
Practice Address - Country:US
Practice Address - Phone:561-965-2665
Practice Address - Fax:561-965-2658
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71810207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252938600Medicaid
FL38517AMedicare ID - Type UnspecifiedGROUP #
FL41292Medicare ID - Type Unspecified
FL252938600Medicaid