Individual provider · Type 1 NPI

Leah Gail Petersen, PA-C

Physician Assistant · Tampa, FL

NPI number 1821651456 Active

Practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Call (813) 745-4673 Map

Mailing address

PO Box 198441
Atlanta, GA 30384-8441

Other practice locations

  • 9520 Kona Village Dr Apt 211, Riverview, FL 33578-5205 · (813) 957-8438

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9114522 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1821651456

Leah Gail Petersen, PA-C's National Provider Identifier is 1821651456, issued on Apr 18, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tampa, FL. The record was last updated on Apr 14, 2026.