Provider Demographics
NPI:1487276416
Name:CATALINA MEDICAL LLC
Entity type:Organization
Organization Name:CATALINA MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTAGLIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:CCPA
Authorized Official - Phone:754-367-7634
Mailing Address - Street 1:6368 NW 107TH TER
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3762
Mailing Address - Country:US
Mailing Address - Phone:954-415-5202
Mailing Address - Fax:
Practice Address - Street 1:1304 E ATLANTIC BLVD STE C
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6789
Practice Address - Country:US
Practice Address - Phone:754-367-7634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101Medicaid