| Organization Name: | MARC A NATHANSON DPM PA |
| NPI Number: | 1083826614 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARC A NATHANSON (OWNER) |
| Mailing Address: | 60 Westminster St N Ste F Lehigh Acres |
| State: | FL US |
| Postal Code: | 339366518 |
| Phone Number: | 2394817000 |
| Fax Number: | 2394818150 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 06/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO2709 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |