Pacocha, Katelyn

Pacocha, Katelyn is an individual health care provider with primary practice located at 1005 Joe Dimaggio Dr , Hollywood FL 33021-5402. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Pacocha, Katelyn can be contacted via phone (484) 574-4554.

Contact Information

Primary practice address
1005 Joe Dimaggio Dr Hollywood FL 33021-5402
Phone: (484) 574-4554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 11021525 Florida

Profile Details

NPI number 1386376762
LBN Legal business name Pacocha, Katelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2022
Last updated Oct 4th, 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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