Fosen, Katina Melanie

Fosen, Katina Melanie is an individual health care provider with primary practice located at 1501 S Pinellas Ave Ste J , Tarpon Springs FL 34689-1951. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Fosen, Katina Melanie can be contacted via phone (727) 943-3640.

Contact Information

Primary practice address
1501 S Pinellas Ave Ste J Tarpon Springs FL 34689-1951
Phone: (727) 943-3640
Fax: (727) 942-9745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X ME119622 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME119622 Florida

Profile Details

NPI number 1316068901
LBN Legal business name Fosen, Katina Melanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 29th, 2020 - about 5 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 1316068901 NPPES
Florida MEDICAID 014189400
Florida Other P01524561

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