Individual
KATHRYN FITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2325 VIDINA DR, MELBOURNE, FL 32940-7698
(321) 471-1068
(321) 434-9285
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 868-8366
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN9278237
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008557400
—
FL
01
—
HD245Y
MEDICARE
FL
Enumeration date
03/15/2013
Last updated
12/05/2024
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