Healthcare Provider Details
I. General information
NPI: 1316320963
Provider Name (Legal Business Name): SYEETA JOYCE MCKELVIE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/01/2015
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7760 CURLEY RD STE 203
WESLEY CHAPEL FL
33545-9153
US
IV. Provider business mailing address
38135 MARKET SQUARE DR
ZEPHYRHILLS FL
33542-7505
US
V. Phone/Fax
- Phone: 813-979-7733
- Fax: 813-355-5061
- Phone: 813-979-7733
- Fax: 813-355-5061
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | PA9109590 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | PA9109590 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: