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Organization
KIN MEDICAL GROUP PA
Active
Organization
KIN MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY CARLSSON (OPERATIONS ADMINISTRATOR)
(813) 212-5200
Entity
Organization
Contact information
Practice address
601 S HARBOUR ISLAND BLVD STE 109, TAMPA, FL 33602-5927
(813) 212-5200
Mailing address
601 S HARBOUR ISLAND BLVD STE 109, TAMPA, FL 33602-5927
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/23/2025
Last updated
08/13/2026
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