Individual provider · Type 1 NPI
Audrey C. Sevilla-Ballereau, PA-C
Surgical Physician Assistant · Tampa, FL
NPI number
1225213200
Active
Practice location
3003 W Dr Martin Luther King Jr Blvd, 2nd Mab
Tampa, FL 33607-6307
Fax (813) 443-8135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA9108569 (FL) |
| Surgical Physician Assistant Primary | 363AS0400X | PA9108569 (FL) |
| Surgical Physician Assistant | 363AS0400X | PA-070 (GU) |
Surgical Physician Assistant: Definition to come...
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- Robert Ennes Aldrich Jr., PA-CSurgical Physician Assistant Tampa, FL NPI 1073575783
- Joshua R. Williams, PA-CSurgical Physician Assistant Tampa, FL NPI 1073575866
About NPI 1225213200
Audrey C. Sevilla-Ballereau, PA-C's National Provider Identifier is 1225213200, issued on Jan 8, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tampa, FL. The record was last updated on Apr 13, 2023.