Individual
KATELYN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 W GORE ST STE 403, ORLANDO, FL 32806-1049
(407) 448-4023
(321) 843-3570
Mailing address
100 W GORE ST STE 403, ORLANDO, FL 32806-1049
(407) 448-4023
(321) 843-3570
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9120828
FL
Other
Enumeration date
02/27/2025
Last updated
11/03/2025
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