Nathanson, Ian T.

Nathanson, Ian T. is an individual health care provider with primary practice located at 1717 S Orange Ave Suite 100, Orlando FL 32806-2944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Nathanson, Ian T. can be contacted via phone (407) 650-7000.

Contact Information

Primary practice address
1717 S Orange Ave Suite 100 Orlando FL 32806-2944
Phone: (407) 650-7000
Fax: (407) 650-7124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X ME55343 Florida

Profile Details

NPI number 1336258193
LBN Legal business name Nathanson, Ian T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Apr 24th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336258193 NPPES
Louisiana MEDICAID 1528293
Louisiana MEDICAID 061890000

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