Individual provider · Type 1 NPI

Katrina Potithavoranant

Medical Physician Assistant · St. Petersburg, FL

NPI number 1710348479 Active

Practice location

620 10th St N Ste 1E
St. Petersburg, FL 33705-1407

Call (727) 824-3120 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9112237 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1710348479

Katrina Potithavoranant's National Provider Identifier is 1710348479, issued on Mar 9, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 17, 2023.