Individual
KATIE FITZPATRICK BOKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS 13914
FL
208M00000X
Hospitalist Physician
OS13914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018666800
—
FL
01
—
91C13
FLORIDA BLUE
FL
Enumeration date
06/28/2012
Last updated
11/16/2016
Update your record
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