Individual
KATRINA WUBNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 S ORANGE AVE # MP700, ORLANDO, FL 32806-2134
(321) 841-1858
(321) 843-6498
Mailing address
1400 S ORANGE AVE # MP700, ORLANDO, FL 32806-2134
(321) 841-1858
(321) 843-6498
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9109028
FL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016555800
—
FL
Enumeration date
01/14/2013
Last updated
01/31/2025
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