Individual provider · Type 1 NPI

Savannah Clare Ennis

Surgical Physician Assistant · Tampa, FL

NPI number 1679335376 Active

Practice location

2 Tampa General Cir
Tampa, FL 33606-3571

Fax (813) 974-0483

Mailing address

PO Box 917770
Orlando, FL 32891-0001

Other practice locations

  • 440 Trailhead Dr, Abita Springs, LA 70420-4005 · (985) 630-1099

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9119406 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1679335376

Savannah Clare Ennis's National Provider Identifier is 1679335376, issued on Jan 29, 2024. 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 20, 2025.