MEDICARE: MS. CATHERINE MARIE KIBURZ APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11035502	FL

General Provider Information

NPI Number	:	1295617637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHERINE MARIE KIBURZ APRN

Provider Business Mailing Address
First Line	:	3348 PLEASANT WILLOW CT
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-8191
Country	:	US
Telephone Number	:	727-278-4272
Fax Number	:

Provider Business Practice Location Address
First Line	:	11967 SHELDON RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-3644
Country	:	US
Telephone Number	:	813-776-4400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2025
Last Update Date	:	07/25/2025

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