Individual provider · Type 1 NPI

Derek Douglas Magnuson, PA-C

Medical Physician Assistant · Tampa, FL

NPI number 1124115126 Active

Practice location

2502 W Hillsborough Ave
Tampa, FL 33614-6130

Fax (813) 885-9463

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9101889 (FL)
Physician Assistant 363A00000XPA9101889 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1124115126

Derek Douglas Magnuson, PA-C's National Provider Identifier is 1124115126, issued on Oct 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tampa, FL. The record was last updated on Sep 29, 2026.