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NPI Code Detail

MEDICARE: MS. MEGAN CECKA PA-C

MEDICARE: MS. MEGAN CECKA 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 Assistant2643-023WI
2363AM0700XMedical Physician Assistant9107337FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22643-023OTHERWISTATE LICENSE
31088923OTHERWINCCPA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992001861
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEGAN CECKA PA-C
Provider Business Mailing Address
First Line : 621 VICTORIA ST
Second Line :
City : BRANDON
State : FL
Zip : 33510-4313
Country : US
Telephone Number : 813-655-0292
Fax Number :
Provider Business Practice Location Address
First Line : 621 VICTORIA ST
Second Line :
City : BRANDON
State : FL
Zip : 33510-4313
Country : US
Telephone Number : 813-655-0292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2011
Last Update Date : 02/08/2024

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Directions to “ MS. MEGAN CECKA PA-C” Practice Location

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