# KATRINA JAHEN SMITH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164900338
- **Authorized official:** MRS. KATRINA JAHEN SMITH PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (813) 368-0683

## Contact information

- **Practice address:** 21742 GARDEN WALK LOOP, LAND O LAKES, FL 34637-7610
- **Practice address phone:** (813) 368-0683
- **Mailing address:** PO BOX 2101, LAND O LAKES, FL 34639-2101
- **Mailing address phone:** (813) 368-0683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA9105946 | FL | Yes |

## Other

- **Enumeration date:** 07/31/2018
- **Last updated:** 07/31/2018