Individual provider · Type 1 NPI

Marisa Benedict, PA-C

Physician Assistant · St. Petersburg, FL

NPI number 1174333868 Active

Practice location

640 Tyrone Blvd N
St. Petersburg, FL 33710-7126

Mailing address

1001 Country Club Rd N
St. Petersburg, FL 33710-4406

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9119512 (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 1174333868

Marisa Benedict, PA-C's National Provider Identifier is 1174333868, issued on Jan 13, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 12, 2025.