Individual provider · Type 1 NPI

Theresa Marie Thiele, PAC

Physician Assistant · Apollo Beach, FL

NPI number 1922023639 Active

Practice location

101 Flamingo Dr Ste A
Apollo Beach, FL 33572-2600

Mailing address

18103 Hamden Park Way
Tampa, FL 33647

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9101357 (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 1922023639

Theresa Marie Thiele, PAC's National Provider Identifier is 1922023639, issued on Jul 13, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Apollo Beach, FL. The record was last updated on Sep 7, 2022.