Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 62360 | WI |
Y | 2080P0214X | Pediatric Pulmonologist | OS13523 | FL |
NPI | 1154560662 |
---|---|
Provider Name | Dr. Tina Marie Catanzaro |
First Address | Rockland, DE 19732-0191 |
Second Address | Jacksonville, FL 32207-8426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2009 |
Last Update Date | 07/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015711900 | (05) | FL |
1154560662 | (05) | WI |