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NPI Code Detail

MEDICARE: SUSAN L CATTO ARNP

MEDICARE:   SUSAN L CATTO  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerAPRN9170424FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2U1523VOTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3Y035FOTHERFLBC BS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063409886
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN L CATTO ARNP
Provider Business Mailing Address
First Line : 7015 AC SKINNER PARKWAY
Second Line : SUITE 1
City : JACKSONVILLE
State : FL
Zip : 32256
Country : US
Telephone Number : 904-363-2113
Fax Number : 904-538-3672
Provider Business Practice Location Address
First Line : 2 SHIRCLIFF WAY
Second Line : STE 800
City : JACKSONVILLE
State : FL
Zip : 32204-4732
Country : US
Telephone Number : 904-388-2619
Fax Number : 904-388-0240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 09/20/2024

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Directions to “ SUSAN L CATTO ARNP” Practice Location

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