Individual
KATRINA MARIE BROCKWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12880 COMMODITY PL, TAMPA, FL 33626-3101
(813) 865-1340
(813) 343-5506
Mailing address
12880 COMMODITY PL, TAMPA, FL 33626-3101
(813) 865-1340
(813) 343-5506
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R158571
MD
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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