Provider Demographics
NPI:1700689957
Name:COLATO, CATELIN ALEXANDRA
Entity type:Individual
Prefix:
First Name:CATELIN
Middle Name:ALEXANDRA
Last Name:COLATO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5013 CHALET CT APT 302
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-5334
Mailing Address - Country:US
Mailing Address - Phone:239-537-0171
Mailing Address - Fax:
Practice Address - Street 1:5013 CHALET CT APT 302
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-5334
Practice Address - Country:US
Practice Address - Phone:239-537-0171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty