Provider Demographics
NPI:1427136126
Name:EVERS, NATALIE (MD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:EVERS
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 1:3110 VERBENA DR
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-3088
Mailing Address - Country:US
Mailing Address - Phone:866-765-2684
Mailing Address - Fax:
Practice Address - Street 1:8711 PERIMETER PARK BLVD
Practice Address - Street 2:STE 6
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6388
Practice Address - Country:US
Practice Address - Phone:866-765-2684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89128207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME89128OtherSTATE MEDICAL LICENSE
FL269299600Medicaid
FLME89128OtherSTATE MEDICAL LICENSE
FLI07303Medicare UPIN