Individual provider · Type 1 NPI

Michelle Janicki, PA-C

Surgical Physician Assistant · Tampa, FL

NPI number 1083973887 Active

Practice location

12880 Commodity Pl
Tampa, FL 33626-3101

Fax (813) 343-5506

Mailing address

1905 Robinhill Ct
Tucker, GA 30084-7020

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9106533 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1083973887

Michelle Janicki, PA-C's National Provider Identifier is 1083973887, issued on May 14, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tampa, FL. The record was last updated on May 14, 2012.