Individual
KATELYN MAYBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10141 BIG BEND RD STE 103, RIVERVIEW, FL 33578-7421
(813) 302-8740
(813) 605-8740
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME147151
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2018
Last updated
09/27/2024
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