Audrey C Sevilla-Ballere in Tampa - Physician Assistant
Audrey C Sevilla-Ballere - NPI 1225213200
Audrey C Sevilla-Ballere is a Physician Assistant in Tampa, Florida. Audrey C Sevilla-Ballere practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Audrey C Sevilla-Ballere is 1225213200. The last update date is 2023-04-13.
Audrey C Sevilla-Ballere's current location address is 3003 W Dr Martin Luther King Jr Blvd, Tampa, Florida. You can contact this provider via phone number 8133216580. The mailing address for Audrey C Sevilla-Ballere is 3003 W Dr Martin Luther King Jr Blvd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audrey C Sevilla-Ballere |
|---|---|
| Address | 3003 W Dr Martin Luther King Jr Blvd, Tampa, Florida |
| Phone Number | 8133216580 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1225213200 |
|---|---|
| Provider Enumeration Date | 2008-01-08 |
| Last Updated Date | 2023-04-13 |
Provider Mailing Address Detail
| Address | 3003 W Dr Martin Luther King Jr Blvd |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 33607 |
| Phone Number | 8133216580 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9108569 |
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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 |
|---|---|---|---|
| 14813700 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Audrey C Sevilla-Ballere by the Centers for Medicare & Medicaid Services?
The Audrey C Sevilla-Ballere has been issued the NPI (National Provider Identifier) 1225213200. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Audrey C Sevilla-Ballere is geographically located?
The Audrey C Sevilla-Ballere is physically situated at the following location: 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL, 33607.
What is Audrey C Sevilla-Ballere's specialized field of practice, and what is the corresponding taxonomy classification code?
The Audrey C Sevilla-Ballere'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 Audrey C Sevilla-Ballere receive its 1225213200 assignment from the Centers for Medicare & Medicaid Services?
The Audrey C Sevilla-Ballere was assigned its 1225213200 by the Centers for Medicare & Medicaid Services on 2008-01-08.
When was the information regarding Audrey C Sevilla-Ballere most recently updated?
The details pertaining to the Audrey C Sevilla-Ballere, including its address, specialty, and other relevant information, were last refreshed on 2023-04-13.