Individual
ROBERT J CATALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 PRUDENTIAL DR STE 515, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32207-8207
(904) 396-4886
(904) 398-0496
Mailing address
PO BOX 44004, JACKSONVILLE, FL 32231-4004
(904) 202-1032
(904) 398-0496
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME80402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259686500
—
FL
01
—
P01321224
RR MEDICARE
FL
Enumeration date
09/07/2005
Last updated
01/10/2022
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