Individual provider · Type 1 NPI

Grace Diana Tice, PA-C

Physician Assistant · Port Charlotte, FL

NPI number 1104541937 Active

Practice location

1641 Tamiami Trl Ste 1
Port Charlotte, FL 33948-1018

Call (941) 629-6262 Map

Mailing address

1235 Augusta St E
Lehigh Acres, FL 33974-0728

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9116492 (FL)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104541937

Grace Diana Tice, PA-C's National Provider Identifier is 1104541937, issued on Oct 4, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Charlotte, FL. The record was last updated on Oct 4, 2022.