person
Mr. Thomas Scott Gennara, PA-C
Surgical Physician Assistant in Brandon, Florida
NPI 1033209754

Thomas Scott Gennara is a Surgical Physician Assistant based in St Petersburg, FL and is specialized in Surgical. Thomas Scott Gennara practices in Brandon, FL and has the professional credentials of PA-C. The NPI Number for Thomas Scott Gennara is 1033209754 and holds a License No. PA1808 (Florida).

The current practice location address for Thomas Scott Gennara is 270 S Moon Ave, Brandon, FL and can be reached out via phone at 813-571-9988 and via fax at 813-571-9922. You can also correspond with Thomas Scott Gennara through the mailing address at 6006 49TH ST N, ST PETERSBURG, FL - 33709-2148 (mailing address contact number: 727-490-5040).

Location: 270 S Moon Ave, Brandon, FL, 33709-2148
person
Provider Profile Details
NPI Number
1033209754
Provider Name
Thomas Scott Gennara
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
270 S Moon Ave, Brandon, FL, 33709-2148
Phone Number
813-571-9988
Fax Number
813-571-9922
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01320498 01 FL RR MEDICARE
009471200 05 FL
institution
Provider Business Practice Location Address Details
Address
270 S Moon Ave
City
State
Zip
33511-5711
Phone Number
813-571-9988
Fax Number
813-571-9922
person
Provider Business Mailing Address Details
Address
6006 49Th St N
City
State
Zip
33709-2148
Phone Number
727-490-5040
Fax Number
727-490-5045
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA1808 (Florida)
Definition
Definition to come...
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