Black, Katherine

Black, Katherine is an individual health care provider with primary practice located at 2 Tampa General Cir , Tampa FL 33606-3571. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Black, Katherine can be contacted via phone (813) 821-8038.

Contact Information

Primary practice address
2 Tampa General Cir Tampa FL 33606-3571
Phone: (813) 821-8038
Fax: (813) 974-4325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME157028 Florida

Profile Details

NPI number 1841750825
LBN Legal business name Black, Katherine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2019
Last updated Sep 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841750825 NPPES
Florida MEDICAID 115059300
Florida Other TF0ZU

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