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

Katrina D. Black, PA

Individual provider Medical Physician Assistant · NPI 1801194972

Katrina D. Black, PA is a Medical Physician Assistant in Tampa, Florida. Licensed in Florida and Georgia. Registered with an NPI since 2011.

Licensed in
FL, GA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3345 S Dale Mabry Hwy
Tampa, FL 33629-7817
Phone: (813) 234-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9110311 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 004612 (GA)

Record details

NPI number1801194972
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 14, 2011
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021
Mailing address10800 Brighton Bay Blvd Ne Apt 3104, Saint Petersburg, FL 33716-3490

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