| Katrina D Black, PA | |
| 
					3345 S Dale Mabry Hwy, Tampa, FL 33629-7817  | |
| (813) 234-0100 | |
| Not Available | 
| Full Name | Katrina D Black | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant - Medical | 
| Location | 3345 S Dale Mabry Hwy, Tampa, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801194972 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 004612 (Georgia) | Secondary | 
| 363AM0700X | Physician Assistant - Medical | PA9110311 (Florida) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Katrina D Black, PA 10800 Brighton Bay Blvd Ne Apt 3104, Saint Petersburg, FL 33716-3490 Ph: (912) 292-7116  | Katrina D Black, PA 3345 S Dale Mabry Hwy, Tampa, FL 33629-7817 Ph: (813) 234-0100  | 
Sara Elizabeth Udani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10150 Highland Manor Dr Ste 205, Tampa, FL 33610 Phone: 813-259-1013 Fax: 813-254-0396  | |
Randi Marie Bustin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1502 E Fowler Ave, Tampa, FL 33612 Phone: 813-866-0950 Fax: 813-866-0929  | |
Mrs. Jennifer Rose Baker Koebert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4001 E Fletcher Ave Fl 6, Tampa, FL 33613 Phone: 813-396-0768  | |
Tracie L Patel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10740 Palm River Rd Ste 360, Tampa, FL 33619 Phone: 813-844-7585 Fax: 813-844-5877  | |
Mr. Anthony Bromagen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12880 Commodity Pl, Tampa, FL 33626 Phone: 813-343-5500 Fax: 813-343-5506  | |
Lauren N. Yates, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16646 North Dale Mabry Highway, Tampa, FL 33618 Phone: 813-908-5253 Fax: 813-355-5895  | |
Mr. Eddy Jose Lopez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4507 N Armenia Ave, Tampa, FL 33603 Phone: 813-876-4100 Fax: 813-876-4153  |