Provider Demographics
NPI:1780210682
Name:JOUBERT, KATELYN PETITFILS (DO)
Entity type:Individual
Prefix:DR
First Name:KATELYN
Middle Name:PETITFILS
Last Name:JOUBERT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:112 SOHO CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-4200
Mailing Address - Country:US
Mailing Address - Phone:337-349-4616
Mailing Address - Fax:
Practice Address - Street 1:6201 W NEWBERRY RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4305
Practice Address - Country:US
Practice Address - Phone:352-265-2020
Practice Address - Fax:352-627-4299
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS21123207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology