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: CARA C CIMILLUCA PA-C

MEDICARE: CARA C CIMILLUCA 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
1363AM0700XMedical Physician AssistantPA9104283FL
2363AS0400XSurgical Physician AssistantPA9104283FL
3363A00000XPhysician Assistant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18N7446OTHERTXBLUE SHILD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972610020
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA C CIMILLUCA PA-C
Provider Business Mailing Address
First Line : 1839 CENTRAL AVE
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33713-9089
Country : US
Telephone Number : 727-322-1054
Fax Number : 727-322-2725
Provider Business Practice Location Address
First Line : 1839 CENTRAL AVE
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33713-9089
Country : US
Telephone Number : 727-322-1054
Fax Number : 727-322-2725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 01/27/2026

Similar Medicare Providers

1932687266 — JENNIFER REBECCA RICKMAN CRNP
Practice Location Address:
1839 CENTRAL AVE
ST PETERSBURG, FL
33713-9089
Practice Phone: 878-201-3312
Practice Fax:
1740809433 — MS. KENOVIAH HERON DO
Practice Location Address:
1839 CENTRAL AVE
SAINT PETERSBURG, FL
33713-9089
Practice Phone: 727-322-1054
Practice Fax:
1669409306 — DR. MARK P. KRIVOSHIK MD
Practice Location Address:
1839 CENTRAL AVE
ST PETERSBURG, FL
33713-9089
Practice Phone: 727-322-1054
Practice Fax: 727-322-2725
1780607309 — MISS KIMBERLY KAY VANDER HEUVEL ARNP-BC, MS
Practice Location Address:
1839 CENTRAL AVE
ST PETERSBURG, FL
33713-9089
Practice Phone: 727-322-1054
Practice Fax:
1295940138 — DR. MOBOLA T CAMPBELL M.D. MPH
Practice Location Address:
1839 CENTRAL AVE
ST PETERSBURG, FL
33713-9089
Practice Phone: 727-322-1054
Practice Fax: 727-821-7213
1366919557 — SVETLANA NAGLE ARNP
Practice Location Address:
1839 CENTRAL AVE
ST PETERSBURG, FL
33713-9089
Practice Phone: 727-322-1054
Practice Fax:

Directions to “ CARA C CIMILLUCA PA-C” 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.