Katherine Martinez Sams, PA-C
Physician Assistant, Medical in Tampa, FL. Individual provider (NPI-1).
NPI number1982174876
StatusActive
Last updated in NPPESApr 12, 2023
Details
- NPI
- 1982174876
- Entity type
- Individual (NPI-1)
- Name
- Ms. Katherine Martinez Sams
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2018
- Certification date
- Apr 12, 2023
- Last updated
- Apr 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA9111642 | FL | Yes |
| 363A00000X | Physician Assistant | PA9111642 | FL |
Practice location
3001 W Dr Martin Luther King Jr Blvd Fl 1Tampa, FL 33607-6307
Phone 813-870-4619 · Fax 813-554-8956
Mailing address
3001 W Dr Martin Luther King Jr BlvdTampa, FL 33607-6307
Phone 813-554-8527 · Fax 813-554-8496
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