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General NPI Number Information
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NPI Number | 1326025032
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Entity Type | Organization
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Legal Business Name | METROPOLITAN ANESTHESIA GROUP PL
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Dates
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Enumeration Date | 12/23/2005
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 1331 N LAWNWOOD CIRCLE
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City | FORT PIERCE
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State | FL
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Zip | 34950
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Country | US
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Telephone | 772-460-0517
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Fax | 772-460-0518
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Provider Business Mailing Address
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Address Line | PO BOX 2474
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City | FORT PIERCE
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State | FL
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Zip | 34954
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Country | US
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Telephone | 772-460-0517
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Fax | 772-460-0518
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH J KATTA
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Credential | M.D.
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Telephone | 772-460-0517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME47005
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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