Individual ProviderKatherine FitzgeraldNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6000 Southwest 62nd Avenue, Suite 350, South Miami, FL 33143-4717(305) 801-7643PECOS EnrollmentBased on the most recent information from CMS, provider Katherine Fitzgerald is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1376567677Provider TypeIndividualFull NameFitzgerald, KatherineTitleMrs.CredentialARNPGenderFemaleSole ProprietorNoEnumeration Date7/27/2006Last Updated12/11/2020Contact InformationPractice LocationPractice Address6000 Southwest 62nd Avenue, Suite 350, South Miami, FL 33143-4717Phone(305) 801-7643Fax(305) 665-8884Mailing LocationMailing Address6000 Southwest 62nd Avenue, Suite 350, South Miami, FL 33143-4717Phone(305) 801-7643Fax(305) 665-8884Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3294092FloridaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseARNP3294092FloridaProvider IdentifiersIDDescriptionIssuerID3034071-00DescriptionMedicaidIssuerUnlistedFlorida