person
Katie Weisz Cremata, PA
Medical Physician Assistant in Port Orange, Florida
NPI 1184157968

Katie Weisz Cremata is a Medical Physician Assistant based in Jacksonville, FL and is specialized in Medical. Katie Weisz Cremata practices in Port Orange, FL and has the professional credentials of PA. The NPI Number for Katie Weisz Cremata is 1184157968 and holds a License No. PA9110239 (Florida).

The current practice location address for Katie Weisz Cremata is 3635 Clyde Morris Blvd Ste 100, Port Orange, FL and can be reached out via phone at 386-788-7842 and via fax at 386-756-8802.

Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL, 32256-6004
person
Provider Profile Details
NPI Number
1184157968
Provider Name
Katie Weisz Cremata
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3635 Clyde Morris Blvd Ste 100, Port Orange, FL, 32256-6004
Phone Number
386-788-7842
Fax Number
386-756-8802
Provider Enumeration Date
04/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020626200 05 FL
institution
Provider Business Practice Location Address Details
Address
3635 Clyde Morris Blvd Ste 100
City
State
Zip
32129-2349
Phone Number
386-788-7842
Fax Number
386-756-8802
person
Provider Business Mailing Address Details
Address
3635 Clyde Morris Blvd Ste 100
City
State
Zip
32129-2349
Phone Number
386-788-7842
Fax Number
386-756-8802
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9110239 (Florida)
Definition
Definition to come...
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