Organization · Type 2 NPI

Octavio Carreno MD PA

Specialist · Orange Park, FL

NPI number 1023210804 Active

Practice location

2035 Professional Center Dr, Suite A
Orange Park, FL 32073-4492

Call (904) 272-3200 Map

Fax (904) 272-3211

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME78105 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1023210804

Octavio Carreno MD PA's National Provider Identifier is 1023210804, issued on Jun 4, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Orange Park, FL. The record was last updated on Jan 28, 2008.