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Individual

KATELYN HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
(813) 456-7884
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-4673

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9336853
FL
363LG0600X
Gerontology Nurse Practitioner
APRN9336853
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018052400
FL
Enumeration date
06/02/2016
Last updated
04/22/2026
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