Individual provider · Type 1 NPI
Tannelle McDougle, PA
Medical Physician Assistant · St. Petersburg, FL
NPI number
1407296197
Active
Practice location
4260 Central Ave
St. Petersburg, FL 33711-1140
Fax (727) 361-6247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9107285 (FL) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1407296197
Tannelle McDougle, PA's National Provider Identifier is 1407296197, issued on Jun 27, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Feb 5, 2026.