Black, Katrina D.

Black, Katrina D. is an individual health care provider with primary practice located at 3345 S Dale Mabry Hwy , Tampa FL 33629-7817. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Black, Katrina D. can be contacted via phone (813) 234-0100.

Contact Information

Primary practice address
3345 S Dale Mabry Hwy Tampa FL 33629-7817
Phone: (813) 234-0100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004612 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9110311 Florida

Profile Details

NPI number 1801194972
LBN Legal business name Black, Katrina D.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2011
Last updated Aug 6th, 2021 - 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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