Individual provider · Type 1 NPI

Kaitlyn Roeder, PA

Physician Assistant · Brandon, FL

NPI number 1083455182 Active

Practice location

414 W Robertson St
Brandon, FL 33511-5007

Call (813) 701-5804 Map

Fax (813) 291-7615

Mailing address

PO Box 25201
Tampa, FL 33622-5201

Other practice locations

2310 North Blvd W Ste A, Davenport, FL 33837-8988 · (813) 701-5804
7032 US Highway 301 N, Ellenton, FL 34222-3030 · (813) 701-5804
1611 Harden Blvd, Lakeland, FL 33803-1826 · (813) 701-5804
28050 US Highway 19 N Ste 100, Clearwater, FL 33761-2600 · (813) 701-5804

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	PA9121071 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083455182

Kaitlyn Roeder, PA's National Provider Identifier is 1083455182, issued on Jun 3, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brandon, FL. The record was last updated on May 19, 2026.