Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE LONGO CANTRELL, MD
Active Sole ProprietorKATIE LONGO CANTRELL, MD is a Family Medicine healthcare provider located in PONTE VEDRA BEACH, Florida. NPI 1538541768 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PONTE VEDRA BEACH, FL
Registration Details
- NPI Number
- 1538541768
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2015 (11.126966539113 yrs)
- Last Updated
- Aug 21, 2022
- Licenses
-
125-066188 (IL)ME136447 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
520 A1A N STE 101PONTE VEDRA BEACH, FL, 320822260Browse FL providers · Browse ZIP 32082
- Phone
- 9042736900
- Fax
- 9043907479
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PONTE VEDRA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ADAM DIMITROV | MD | 1962471938 |
| JACOB MARVIN WOLF | M.D. | 1396783080 |
| ERIC J NORENBERG | MD | 1316988173 |
| DR. THOMAS ALLEN TOMLIN | MD | 1427073907 |
| SHALAKA GHATE | MD | 1932399045 |
| MRS. JESSICA MARIE CLARK | APRN | 1457007593 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.