Provider Demographics
NPI:1134913239
Name:JIM, CATARINA VICTORIA
Entity type:Individual
Prefix:
First Name:CATARINA
Middle Name:VICTORIA
Last Name:JIM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:CATARINA
Other - Middle Name:VICTORIA
Other - Last Name:VALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1600 NW ARCHER ROAD ROOM 4101
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1600 NW ARCHER ROAD ROOM 4101
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0001
Practice Address - Country:US
Practice Address - Phone:352-265-0239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program