KARLA MICHELLE MINCONE


Address: 3040 W Cypress St # 103, Tampa, FL 33609-1615
Phone: 8137899332

KARLA MICHELLE MINCONE (NPI# 1972988467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972988467
Entity Type Individual
Full Name KARLA MICHELLE MINCONE
Other Name KARLA MICHELLE ROMAN
Credential PA-C
Practice Address 3040 W Cypress St # 103
Tampa
FL 33609-1615
Mailing Address 910 Grand Cresta Ave
Brandon
FL 33511-6533
Practice Telephone 8137899332
Mailing Telephone 8137899332
Enumeration Date 2015-07-25
Last Update Date 2020-02-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA9108482 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3040 W CYPRESS ST # 103
City TAMPA
State FL
Zip Code 33609-1615

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1497275317 Jeilyn M Jimenez Developmental Therapist 550 N Reo Street, Tampa, FL 33609 2017-06-21
1033658513 Adela Reeb Specialist/Technologist 909 North Dale Mabry Hwy, Tampa, FL 33609 2017-02-17
1033561261 Abigail Marie Richardson Developmental Therapist 555 North Reo Street, Tampa, FL 33609 2016-07-12
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1619375292 Healthexchange Systems, LLC Home Health 5100 West Lemon Street, Suite 311, Tampa, FL 33609 2014-12-12
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1124648159 Christian Otero Physician Assistant 311 W Palm Ave, Tampa, FL 33602-2029 2020-04-20
1487219036 Vanessa Natasha White Physician Assistant 10205 W Hillsborough Ave Ste B, Tampa, FL 33615-3671 2019-05-08
1518520873 Zachary Luke Ulshafer Physician Assistant 12901 Bruce B Downs Blvd # 05, Tampa, FL 33612-4742 2019-04-22
1548756893 Christopher Jacob Bordelon Physician Assistant 2550 W Dr Martin Luther King Jr Blvd Ste B, Tampa, FL 33607-6302 2018-07-10
1871033340 Amanda Lins Chissell Physician Assistant 13801 Bruce B Downs Blvd Ste 231, Tampa, FL 33613-3946 2017-03-03
1669839767 Barbara N Vargas Physician Assistant 12500 N Dale Mabry Hwy Ste A, Tampa, FL 33618-2809 2016-01-20
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1326441767 Brigett Brandjes Physician Assistant 2902 Usf Magnolia Drive, Tampa, FL 33612 2014-09-30
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Competitor

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City TAMPA
Zip Code 33609

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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