Provider Demographics
NPI:1174797195
Name:NATALIE SOHN MD PA
Entity type:Organization
Organization Name:NATALIE SOHN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-792-2070
Mailing Address - Street 1:PO BOX 1143
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-1143
Mailing Address - Country:US
Mailing Address - Phone:561-792-2070
Mailing Address - Fax:561-793-0783
Practice Address - Street 1:1800 FOREST HILL BLVD
Practice Address - Street 2:SUITE B13-15
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6094
Practice Address - Country:US
Practice Address - Phone:561-439-6895
Practice Address - Fax:561-439-6598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71810207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252938600Medicaid
FLG59990Medicare UPIN
FL252938600Medicaid
FL41292YMedicare PIN