Individual provider · Type 1 NPI

Victoria Banta, PA

Physician Assistant · St. Petersburg, FL

NPI number 1255219291 Active

Practice location

7655 38th Ave N Ste 101
St. Petersburg, FL 33710-1263

Fax (727) 345-3200

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	PA9120881 (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 1255219291

Victoria Banta, PA's National Provider Identifier is 1255219291, issued on Aug 26, 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 Mar 30, 2026.