Katharina Pellegrin
Surgeon Surgery of the Hand
619 N Cove Blvd
Panama City
, Florida 32401-3642
Katharina Pellegrin
Surgeon Surgery of the Hand
619 N Cove Blvd
Panama City
, Florida 32401-3642
(904) 450-6401
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About
Features
Specialties
- Surgeon
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Katharina Pellegrin
- 4205 Belfort Rd Ste 4015
- Jacksonville, FL
- Zip : 32216-3623
- Fax : (904) 450-6401
- Phone : (904) 450-6014
Second Address
- Katharina Pellegrin
- 619 N Cove Blvd
- Panama City, FL
- Zip : 32401-3642
- Fax : (850) 913-6961
- Phone : (850) 913-6960
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 0101265079 | VA |
| N | 208600000X | Surgeon | 0101265079 | VA |
| Y | 208200000X | Surgeon | ME141879 | FL |
| Y | 208600000X | Surgeon | ME141879 | FL |
| N | 2086S0105X | Surgery of the Hand | A63604 | CA |
National Provider Identifier
| NPI | 1114994233 |
|---|---|
| Provider Name | Katharina Pellegrin |
| First Address | Jacksonville, FL 32216-3623 |
| Second Address | Panama City, FL 32401-3642 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2006 |
| Last Update Date | 19/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A63604 | (05) | CA |
| H54473 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.