Organization
JOSEPH J KATTA MD, PA
Active
Other names
TESORO LAB
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J KATTA MD (CHIEF OFFICER)
(772) 595-5988
Entity
Organization
Contact information
Practice address
1811 S 25TH ST, FORT PIERCE, FL 34947-4756
(772) 595-5988
(772) 595-5989
Mailing address
1811 S 25TH ST, FORT PIERCE, FL 34947-4756
(772) 595-5988
(772) 595-5989
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
047323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006W
BCBS
FL
01
—
AJ581
MEDICARE PTAN
FL
Enumeration date
02/07/2014
Last updated
02/07/2014
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