Healthcare Provider Details

I. General information

NPI: 1346406865
Provider Name (Legal Business Name): CATHERINE MICHELLE KOWALSKI D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE MICHELLE KARL D.O.

II. Dates (important events)

Enumeration Date: 08/04/2008
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 36TH ST
VERO BEACH FL
32960-4862
US

IV. Provider business mailing address

3300 S FISKE BLVD
ROCKLEDGE FL
32955-4306
US

V. Phone/Fax

Practice location:
  • Phone: 772-567-4311
  • Fax:
Mailing address:
  • Phone: 321-434-1771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number010474
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS19788
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberOS19788
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: