Individual
KATIE NICOLE ALBRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
560 S LAKEWOOD DR STE 101, BRANDON, FL 33511-5015
(813) 978-9700
(813) 558-6186
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6186
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9110068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019867700
—
FL
Enumeration date
01/26/2017
Last updated
12/17/2024
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