Individual
KATRINA KHATIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3510 BISCAYNE BLVD, SUITE 300, MIAMI, FL 33137-3840
(305) 576-1234
(305) 571-2020
Mailing address
3510 BISCAYNE BLVD, SUITE 300, MIAMI, FL 33137-3840
(305) 576-1234
(305) 571-2020
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
592564198
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692576600
—
FL
Enumeration date
05/23/2008
Last updated
05/23/2008
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