Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nathan R Dewalt

Individual provider Attendant Care Provider · NPI 1366142580

Nathan R Dewalt is an Attendant Care Provider in Tampa, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

14606 Mirasol Manor Ct
Tampa, FL 33626-3311
Phone: (717) 324-5679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X

Record details

NPI number1366142580
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 7, 2023
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023
Mailing address14606 Mirasol Manor Ct, Tampa, FL 33626-3311

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