Healthcare Provider Details

I. General information

NPI: 1225109440
Provider Name (Legal Business Name): JOSEPH DEREK CATINO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 E COMMERCIAL BLVD STE 102
FORT LAUDERDALE FL
33308-4202
US

IV. Provider business mailing address

2006 NE 49TH ST
FORT LAUDERDALE FL
33308-4524
US

V. Phone/Fax

Practice location:
  • Phone: 954-491-0900
  • Fax: 954-491-1306
Mailing address:
  • Phone: 954-210-4120
  • Fax: 954-958-0221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberME97119
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME97119
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME97119
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: