Individual provider · Type 1 NPI

Heather C. Bridge, PA

Surgical Physician Assistant · Tampa, FL

NPI number 1700055035 Active

Practice location

12902 Magnolia Dr, SRB4
Tampa, FL 33612

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPAT9104498 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1700055035

Heather C. Bridge, PA's National Provider Identifier is 1700055035, issued on Feb 20, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tampa, FL. The record was last updated on Jan 14, 2011.