Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katelyn Hart, PA-C

Individual provider Surgical Physician Assistant · NPI 1548067598

Katelyn Hart, PA-C is a Physician Assistant in Orlando, Florida. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 W Gore St Ste 403
Orlando, FL 32806-1049
Phone: (407) 448-4023
Fax: (321) 843-3570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6675 Corporate Center Pkwy Ste 115, Jacksonville, FL 32216-8088 — (904) 245-8910

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9120828 (FL)

Record details

NPI number1548067598
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 27, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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