Octavio Carreno MD PA

NPI #1023210804 in Orange Park, Florida

Provider Information

NPI Number: 1023210804
Entity Type: Organization
Organization Name: Octavio Carreno MD PA
Primary Specialty: Specialist
Enumeration Date: Jun 4, 2007
Last Updated: Jan 28, 2008

Practice Location

Address: 2035 PROFESSIONAL CENTER DR
Address 2: SUITE A
City: Orange Park
State: Florida
ZIP Code: 32073-4492
Phone: (904) 272-3200

Authorized Official

Name: MRS. CONNIE ADKINS
Title: OFFICE MANAGER
Phone: (904) 272-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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