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NPI Code Detail

MEDICARE: MARINA ENGLAND PA-C

MEDICARE: MARINA ENGLAND PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant911414FL

General Provider Information

NPI Number : 1689484784
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARINA ENGLAND PA-C
Provider Business Mailing Address
First Line : 110 S MACDILL AVE STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33609-3589
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 S MACDILL AVE STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33609-3589
Country : US
Telephone Number : 813-876-7073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2025
Last Update Date : 02/25/2025

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Directions to “ MARINA ENGLAND PA-C” Practice Location

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