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General NPI Number Information
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NPI Number | 1760011092
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Entity Type | Individual
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Provider Name | KATHERINE CARSON MD
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Gender | Female
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 13933 17TH ST STE 200
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City | DADE CITY
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State | FL
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Zip | 33525-4604
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Country | US
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Telephone | 352-437-5972
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Fax | 352-437-5974
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Provider Business Mailing Address
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Address Line | 2501 N ORANGE AVE STE 235
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City | ORLANDO
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State | FL
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Zip | 32804-4659
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Country | US
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Telephone | 407-303-5990
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME154387
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License Number State | FL
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