Healthcare Provider Details

I. General information

NPI: 1114331568
Provider Name (Legal Business Name): AMBIKA KATARIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2014
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4651 SALISBURY RD STE 400
JACKSONVILLE FL
32256-6187
US

IV. Provider business mailing address

2660 ALMONDWOOD LOOP
ORLANDO FL
32821-2325
US

V. Phone/Fax

Practice location:
  • Phone: 347-691-9246
  • Fax: 689-219-8663
Mailing address:
  • Phone: 347-691-9246
  • Fax: 689-219-8663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number283514
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME149281
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number283514
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: