Individual
DR. JENNIFER REBECCA CASATELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD FL 3, TAMPA, FL 33607-6307
(813) 870-4839
(813) 870-4821
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME76659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258337200
—
FL
Enumeration date
05/10/2006
Last updated
01/19/2021
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