Individual provider · Type 1 NPI

Tatyana Korableva, PA-C

Physician Assistant · St. Petersburg, FL

NPI number 1912272113 Active

Practice location

710 94th Ave N Ste 307
St. Petersburg, FL 33702-2452

Fax (813) 661-3374

Mailing address

PO Box 1192
Brandon, FL 33509-1192

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA9106401 (FL)
Physician Assistant Primary 363A00000XPA9106401 (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 1912272113

Tatyana Korableva, PA-C's National Provider Identifier is 1912272113, issued on Mar 21, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jan 30, 2025.