Individual provider · Type 1 NPI

Marygrace Polsinelli

Physician Assistant · Daytona Beach, FL

NPI number 1316820715 Active

Practice location

305 Memorial Medical Pkwy Ste 401
Daytona Beach, FL 32117-5169

Fax (386) 231-3544

Mailing address

770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179

Other practice locations

  • 6675 Corporate Center Pkwy, Jacksonville, FL 32216-8079 · (904) 245-8910

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9120681 (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…

4 other providers at this address

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About NPI 1316820715

Marygrace Polsinelli's National Provider Identifier is 1316820715, issued on Jul 31, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Oct 21, 2025.