Individual provider · Type 1 NPI

Mikayla Mary Luise, PA-C

Surgical Physician Assistant · Tampa, FL

NPI number 1922675883 Active

Practice location

2 Tampa General Cir
Tampa, FL 33606-3571

Call (813) 821-8038 Map

Mailing address

PO Box 917770
Orlando, FL 32891-0001

Other practice locations

  • 114 Woodland St, Hartford, CT 06105-1208 · (860) 714-4000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9121079 (FL)

Surgical Physician Assistant: Definition to come...

458 other providers at this address

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About NPI 1922675883

Mikayla Mary Luise, PA-C's National Provider Identifier is 1922675883, issued on Jun 9, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tampa, FL. The record was last updated on Mar 23, 2026.