Individual provider · Type 1 NPI

Alyssa San Diego, PA-C

Physician Assistant · Davenport, FL

NPI number 1194593376 Active

Practice location

2310 North Blvd W Ste A
Davenport, FL 33837-8988

Call (813) 701-5804 Map

Mailing address

2672 Patrician Cir
Kissimmee, FL 34746-3292

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1194593376

Alyssa San Diego, PA-C's National Provider Identifier is 1194593376, issued on Dec 18, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Davenport, FL. The record was last updated on Mar 2, 2025.