Individual
DR. KATARI ANN CARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 697-3927
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301095973
MI
207LP3000X
Pediatric Anesthesiology Physician
4301095973
MI
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME130865
FL
2083A0100X
Aerospace Medicine Physician
A102376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020519800
—
FL
Enumeration date
01/26/2007
Last updated
02/12/2018
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