Specht, Kathleen Marie

Specht, Kathleen Marie is an individual health care provider with primary practice located at 519A E Bloomingdale Ave Ste A , Brandon FL 33511-8105. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Specht, Kathleen Marie can be contacted via phone (813) 655-4100.

Contact Information

Primary practice address
519A E Bloomingdale Ave Ste A Brandon FL 33511-8105
Phone: (813) 655-4100
Fax: (813) 655-1775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2633702 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN2633702 Florida

Profile Details

NPI number 1366582066
LBN Legal business name Specht, Kathleen Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Oct 25th, 2019 - 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 1366582066 NPPES
Florida MEDICAID 304715600

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