Cancel, Katherine Elaine

Cancel, Katherine Elaine is an sole proprietor health care provider with primary practice located at 802 W Dr Martin Luther King Jr Blvd Ste D , Plant City FL 33563-5105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Cancel, Katherine Elaine can be contacted via phone (727) 754-1496.

Contact Information

Primary practice address
802 W Dr Martin Luther King Jr Blvd Ste D Plant City FL 33563-5105
Phone: (727) 754-1496
Fax: (813) 754-2553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11000097 Florida

Profile Details

NPI number 1144791690
LBN Legal business name Cancel, Katherine Elaine
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2018
Last updated Dec 11th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144791690 NPPES
Florida Other C524-505-87-771-1 FLORIDA DEPARTMENT OF DRIVERS LICENSE

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