Cremata, Katie Weisz

Cremata, Katie Weisz is an individual health care provider with primary practice located at 3635 Clyde Morris Blvd Ste 100 , Port Orange FL 32129-2349. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cremata, Katie Weisz can be contacted via phone (386) 788-7842.

Contact Information

Primary practice address
3635 Clyde Morris Blvd Ste 100 Port Orange FL 32129-2349
Phone: (386) 788-7842
Fax: (386) 756-8802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9110239 Florida

Profile Details

NPI number 1184157968
LBN Legal business name Cremata, Katie Weisz
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2017
Last updated Feb 23rd, 2022 - about 4 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 1184157968 NPPES
Florida MEDICAID 020626200

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