Individual provider · Type 1 NPI
Kelli K. Thomazin, PA-C
Surgical Physician Assistant · Lake Mary, FL
NPI number
1780637504
Active
Practice location
773 Stirling Center Pl
Lake Mary, FL 32746-4856
Fax (407) 977-4139
Other practice locations
- 7974 Lake Underhill Rd Ste A, Orlando, FL 32822-8229 · (407) 977-4130
- 7404 Red Bug Lake Rd, Oviedo, FL 32765-7154 · (407) 977-4130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 1029 (NE) |
| Medical Physician Assistant | 363AM0700X | 1029 (NE) |
| Surgical Physician Assistant | 363AS0400X | 1029 (NE) |
| Surgical Physician Assistant Primary | 363AS0400X | PA9113657 (FL) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
Other surgical physician assistant providers in Lake Mary
- Stephen Randall Denny, PASurgical Physician Assistant Lake Mary, FL NPI 1144506775
- Shivali P. Maniar, PA-CSurgical Physician Assistant Lake Mary, FL NPI 1346613676
- Lauren Barnwell, PA-CSurgical Physician Assistant Lake Mary, FL NPI 1669936308
- Alexa Olson, PA-CSurgical Physician Assistant Lake Mary, FL NPI 1720608763
- Kevin D. Stapleton, PA-CSurgical Physician Assistant Lake Mary, FL NPI 1932206091
About NPI 1780637504
Kelli K. Thomazin, PA-C's National Provider Identifier is 1780637504, issued on May 19, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lake Mary, FL. The record was last updated on Nov 7, 2024.