MEDICARE: MS. EVE L MASSARSKY 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
1	363AM0700X	Medical Physician Assistant	PA9106034	FL
2	363A00000X	Physician Assistant	PA9106034	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780962316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EVE L MASSARSKY PA-C

Provider Business Mailing Address
First Line	:	2995 DREW ST FL 2
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:	727-532-0002
Fax Number	:	813-635-2699

Provider Business Practice Location Address
First Line	:	10799 PARK BLVD
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33772-5420
Country	:	US
Telephone Number	:	727-547-8425
Fax Number	:	813-635-2699

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2011
Last Update Date	:	02/10/2026

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