DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MICHAEL THOMAS THEILING

MEDICARE: MICHAEL THOMAS THEILING
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 Assistant

General Provider Information

NPI Number : 1588554240
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL THOMAS THEILING
Provider Business Mailing Address
First Line : PO BOX 198441
Second Line :
City : ATLANTA
State : GA
Zip : 30384-8441
Country : US
Telephone Number : 813-745-7365
Fax Number : 813-449-8618
Provider Business Practice Location Address
First Line : 12902 USF MAGNOLIA DR
Second Line :
City : TAMPA
State : FL
Zip : 33612-9416
Country : US
Telephone Number : 813-745-7365
Fax Number : 813-449-8618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2025
Last Update Date : 03/09/2026

Similar Medicare Providers

1073800447 — JASREMAN DHILLON MD
Practice Location Address:
12902 USF MAGNOLIA DR
TAMPA, FL
33612-9416
Practice Phone: 813-745-4673
Practice Fax:
1699621920 — BROOKE LYN HOCHBERG
Practice Location Address:
12902 USF MAGNOLIA DR
TAMPA, FL
33612-9416
Practice Phone: 813-745-2081
Practice Fax:
1356181457 — DR. MUHAMED FAOUR PA
Practice Location Address:
12902 USF MAGNOLIA DR
TAMPA, FL
33612-9416
Practice Phone: 813-745-4408
Practice Fax:
1134234099 — RAYMOND M. EVANS III M.D.
Practice Location Address:
12902 USF MAGNOLIA DR
TAMPA, FL
33612-9416
Practice Phone: 813-745-4673
Practice Fax:
1285581579 — DANIELLE ELIZABETH RHODES
Practice Location Address:
12902 USF MAGNOLIA DR
TAMPA, FL
33612-9416
Practice Phone: 888-663-3488
Practice Fax:
1649125196 — MADISON CHAMBERLIN
Practice Location Address:
12902 USF MAGNOLIA DR
TAMPA, FL
33612-9416
Practice Phone: 888-663-3488
Practice Fax:

Directions to “ MICHAEL THOMAS THEILING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.