Provider Demographics
NPI:1851598775
Name:WALOSIK-ARENALL, KATARZYNA MAGDALENA (MD)
Entity Type:Individual
Prefix:DR
First Name:KATARZYNA
Middle Name:MAGDALENA
Last Name:WALOSIK-ARENALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1665 KINGSLEY AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-4415
Mailing Address - Country:US
Mailing Address - Phone:904-215-7015
Mailing Address - Fax:904-215-7715
Practice Address - Street 1:1665 KINGSLEY AVE STE 105
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4415
Practice Address - Country:US
Practice Address - Phone:904-215-7015
Practice Address - Fax:904-215-7715
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME112482207L00000X
FLTRN11521 FL207L00000X
ALMD.30770207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology