Healthcare Provider Details

I. General information

NPI: 1437074382
Provider Name (Legal Business Name): TESSA JULIANNE MCARTHUR CAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 SIMMONS LOOP
RIVERVIEW FL
33578-9498
US

IV. Provider business mailing address

513 TOLHURST RD
CLEVELAND GA
30528-2308
US

V. Phone/Fax

Practice location:
  • Phone: 813-302-8000
  • Fax:
Mailing address:
  • Phone: 803-445-8879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License NumberAA1243
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: