Individual provider · Type 1 NPI

Todd David Ikenberry, P.A.-C

Surgical Physician Assistant · Bay Pines, FL

NPI number 1760649982 Active

Practice location

10000 Bay Pines Blvd
Bay Pines, FL 33744-8200

Call (727) 398-6661 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X011911 (NY)
Surgical Physician Assistant Primary 363AS0400XPA9105419 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1760649982

Todd David Ikenberry, P.A.-C's National Provider Identifier is 1760649982, issued on May 16, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bay Pines, FL. The record was last updated on Mar 29, 2013.