Loralee Koontz in Tampa - Physician Assistant
Loralee Koontz - NPI 1750490629
Loralee Koontz is a Physician Assistant in Tampa, Florida. Loralee Koontz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Loralee Koontz is 1750490629. The last update date is 2012-07-11.
Loralee Koontz's current location address is 2605 W. Swann Ave, Tampa, Florida. You can contact this provider via phone number 8138729551 and fax number 8138729554. The mailing address for Loralee Koontz is 2605 W. Swann Ave, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Loralee Koontz |
|---|---|
| Address | 2605 W. Swann Ave, Tampa, Florida |
| Phone Number | 8138729551 |
| Fax Number | 8138729554 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1750490629 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2012-07-11 |
Provider Mailing Address Detail
| Address | 2605 W. Swann Ave |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336094039 |
| Phone Number | 8138729551 |
| Fax Number | 8138729554 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9101349 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 291750500 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Loralee Koontz by the Centers for Medicare & Medicaid Services?
The Loralee Koontz has been issued the NPI (National Provider Identifier) 1750490629 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Loralee Koontz is geographically located?
The Loralee Koontz is physically situated at the following location: 2605 W. Swann Ave, Tampa, FL, 336094039.
What is Loralee Koontz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Loralee Koontz's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Loralee Koontz receive the assignment of its 1750490629 from the Centers for Medicare & Medicaid Services?
The Loralee Koontz was issued its 1750490629 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information related to Loralee Koontz most recently updated or refreshed?
The details pertaining to the Loralee Koontz, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-07-11.