Individual provider · Type 1 NPI

Tara Elaine Vail, PA

Medical Physician Assistant · St. Petersburg, FL

NPI number 1164733101 Active

Practice location

501 6th Ave S, Dept #6580070408
St. Petersburg, FL 33701-4634

Fax (727) 767-8420

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9105507 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1164733101

Tara Elaine Vail, PA's National Provider Identifier is 1164733101, issued on Jun 24, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 17, 2016.