Individual
MRS. ALISA KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3655 TAMPA RD, OLDSMAR, FL 34677-6307
(813) 854-7239
(813) 854-7005
Mailing address
3931 EXECUTIVE DR, PALM HARBOR, FL 34685-1026
(718) 938-2520
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
9373538
FL
363LF0000X
Family Nurse Practitioner
Primary
9373538
FL
Other
Enumeration date
03/19/2007
Last updated
05/21/2019
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