Donald Richard Nettlow JR.
Anesthesiologist
200 Avenue F Ne
Winter Haven
, Florida 33881-4131
Donald Richard Nettlow JR.
Anesthesiologist
200 Avenue F Ne
Winter Haven
, Florida 33881-4131
(844) 876-0873
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Donald Richard Nettlow JR.
- Po Box 864165
- Orlando, FL
- Zip : 32886-4165
- Fax : (844) 876-0873
- Phone : (317) 614-9863
Second Address
- Donald Richard Nettlow JR.
- 200 Avenue F Ne
- Winter Haven, FL
- Zip : 33881-4131
- Phone : (863) 293-1121
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | ME0050999 | FL |
National Provider Identifier
| NPI | 1003859349 |
|---|---|
| Provider Name | Donald Richard Nettlow JR. |
| First Address | Orlando, FL 32886-4165 |
| Second Address | Winter Haven, FL 33881-4131 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 23/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 372397600 | (05) | FL |
| E83136 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.