Individual
KATHERINE E DADISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 462-2229
(727) 447-5610
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
058075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215135090
GROUP NPI
FL
05
—
251910100
—
FL
05
—
251910101
—
FL
Enumeration date
02/09/2006
Last updated
06/23/2023
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