| Renee Natvig, Llc | |
|
631 N Hyer Ave Orlando FL 32803-4629 | |
| (407) 625-3134 | |
| Not Available |
| Full Name | Renee Natvig, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 631 N Hyer Ave, Orlando, Florida |
| Authorized Official Name and Position | Renee Natvig (OWNER) |
| Authorized Official Contact | 4076253134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Natvig, Llc 1644 E Ridgewood St Orlando FL 32803-5539 Ph: (407) 625-3134 | Renee Natvig, Llc 631 N Hyer Ave Orlando FL 32803-4629 Ph: (407) 625-3134 |
| NPI Number | 1689283194 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 07/30/2020 |
| Certification Date | 07/30/2020 |
| Medicare PECOS PAC ID | 4789002536 |
|---|---|
| Medicare Enrollment ID | O20200911000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689283194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Renee M Natvig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780953349 PECOS PAC ID: 1759703986 Enrollment ID: I20200617000787 |
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