OrganizationActive
Octavio Carreno MD PA
NPI 1023210804 · Specialist · Orange Park, FL
Provider details
- NPI number
- 1023210804
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Connie Adkins, Office Manager(904) 272-3200
- License
- ME78105 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2035 Professional Center Dr
Suite a
Orange Park, FL 32073-4492
Phone: (904) 272-3200
Fax: (904) 272-3211
Approximate (ZIP-level) locationGet directions
Mailing address
2035 Professional Center Dr
Orange Park, FL 32073-4492
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2008-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.