Individual provider · Type 1 NPI

Angela Russell Modi, PA-C

Physician Assistant · Tampa, FL

NPI number 1326457920 Active

Practice location

5 Tampa General Cir Ste 410
Tampa, FL 33606-3578

Fax (813) 844-1966

Mailing address

PO Box 1289
Tampa, FL 33601-1289

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085.005098 (IL)
Physician Assistant Primary 363A00000XPA9112371 (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 1326457920

Angela Russell Modi, PA-C's National Provider Identifier is 1326457920, issued on Aug 7, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tampa, FL. The record was last updated on Mar 12, 2020.