person
Katrina D. Black, PA
Medical Physician Assistant in Tampa, Florida
NPI 1801194972

Katrina D. Black is a Medical Physician Assistant based in Saint Petersburg, FL and is specialized in Medical. Katrina D. Black practices in Tampa, FL and has the professional credentials of PA. The NPI Number for Katrina D. Black is 1801194972 and holds a License No. 004612 (Florida).

The current practice location address for Katrina D. Black is 3345 S Dale Mabry Hwy, Tampa, FL and can be reached out via phone at 813-234-0100.

Location: 3345 S Dale Mabry Hwy, Tampa, FL, 33716-3490
person
Provider Profile Details
NPI Number
1801194972
Provider Name
Katrina D. Black
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3345 S Dale Mabry Hwy, Tampa, FL, 33716-3490
Phone Number
813-234-0100
Fax Number
Provider Enumeration Date
03/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3345 S Dale Mabry Hwy
City
State
Zip
33629-7817
Phone Number
813-234-0100
Fax Number
person
Provider Business Mailing Address Details
Address
3345 S Dale Mabry Hwy
City
State
Zip
33629-7817
Phone Number
813-234-0100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004612 (Georgia)
Definition
Definition to come...
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