Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emerald Lolita Russell-Nathan, MD

Individual provider Pediatrics Physician · NPI 1174257299

Emerald Lolita Russell-Nathan, MD is a Pediatric Medicine in Tavares, Florida. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 Waterman Way
Tavares, FL 32778-5266
Phone: (407) 975-0412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2501 N Orange Ave Fl 3, Orlando, FL 32804-4603 — (321) 947-5206

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME172692 (FL)

Record details

NPI number1174257299
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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