Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katelyn Mayba, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912492323

Katelyn Mayba, MD is a Student in an Organized Health Care Education/Training Program in Riverview, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10141 Big Bend Rd Ste 103
Riverview, FL 33578-7421
Phone: (813) 302-8740
Fax: (813) 605-8740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME147151 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912492323
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address2995 Drew St Fl 2, Clearwater, FL 33759-3012

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