MEDICARE: KATELYN MCSORLEY

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	133V00000X	Registered Dietitian	ND11388	FL

General Provider Information

NPI Number	:	1336017169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN MCSORLEY

Provider Business Mailing Address
First Line	:	7616 W COURTNEY CAMPBELL CSWY UNIT 518
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1553
Country	:	US
Telephone Number	:	815-713-8005
Fax Number	:

Provider Business Practice Location Address
First Line	:	7616 W COURTNEY CAMPBELL CSWY UNIT 518
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1553
Country	:	US
Telephone Number	:	815-713-8005
Fax Number	:

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

Provider Enumeration Date	:	10/24/2025
Last Update Date	:	10/24/2025

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Directions to “ KATELYN MCSORLEY ” Practice Location

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