Individual
DR. MARIA THERESA CASERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 974-3519
(813) 974-2478
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
(813) 974-3519
(813) 974-2478
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 100190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09130
BLUE CROSS BLUE SHIELD
FL
05
—
280229500
—
FL
Enumeration date
11/17/2006
Last updated
04/28/2008
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