Individual provider · Type 1 NPI

Seren Devol Wallen, PA-C

Surgical Physician Assistant · Tampa, FL

NPI number 1447336235 Active

Practice location

4612 N Habana Ave, 2nd Fl
Tampa, FL 33614-7101

Call (813) 321-6580 Map

Fax (813) 321-6581

Mailing address

3000 Medical Park Dr Ste 320
Tampa, FL 33613-4681

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9103985 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1447336235

Seren Devol Wallen, PA-C's National Provider Identifier is 1447336235, issued on Oct 27, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tampa, FL. The record was last updated on Mar 9, 2026.