Individual provider · Type 1 NPI

Renae Lea Degrella, PA-C

Surgical Physician Assistant · Tampa, FL

NPI number 1386772341 Active

Practice location

4301 N Habana Ave
Tampa, FL 33607-6546

Call (813) 879-5010 Map

Fax (813) 443-8148

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9108819 (FL)
Physician Assistant 363A00000X001887 (CT)
Surgical Physician Assistant Primary 363AS0400XPA9108819 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1386772341

Renae Lea Degrella, PA-C's National Provider Identifier is 1386772341, issued on Mar 1, 2007. 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 20, 2023.