MEDICARE: DR. KATARZYNA MAGDALENA WALOSIK-ARENALL M.D.

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
1	207L00000X	Anesthesiology Physician	ME112482	FL

General Provider Information

NPI Number	:	1851598775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATARZYNA MAGDALENA WALOSIK-ARENALL M.D.

Provider Business Mailing Address
First Line	:	1665 KINGSLEY AVE STE 105
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-4415
Country	:	US
Telephone Number	:	904-215-7015
Fax Number	:	904-215-7715

Provider Business Practice Location Address
First Line	:	1665 KINGSLEY AVE STE 105
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-4415
Country	:	US
Telephone Number	:	904-215-7015
Fax Number	:	904-215-7715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	05/18/2017

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