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Leilani Phelan, PA-C
Medical Physician Assistant in Tampa, Florida
NPI 1407126394

Leilani Phelan is a Medical Physician Assistant based in Tampa, FL and is specialized in Medical. Leilani Phelan practices in Tampa, FL and has the professional credentials of PA-C. The NPI Number for Leilani Phelan is 1407126394 and holds a License No. PA9106375 (Florida).

The current practice location address for Leilani Phelan is 15320 Amberly Dr, Tampa, FL and can be reached out via phone at 813-977-2090 and via fax at 813-977-9107.

Location: 15320 Amberly Dr, Tampa, FL, 33647-1647
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Provider Profile Details
NPI Number
1407126394
Provider Name
Leilani Phelan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
15320 Amberly Dr, Tampa, FL, 33647-1647
Phone Number
813-977-2090
Fax Number
813-977-9107
Provider Enumeration Date
01/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9106375 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
15320 Amberly Dr
City
State
Zip
33647-1647
Phone Number
813-977-2090
Fax Number
813-977-9107
person
Provider Business Mailing Address Details
Address
15320 Amberly Dr
City
State
Zip
33647-1647
Phone Number
813-977-2090
Fax Number
813-977-9107
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9106375 (Florida)
Definition
Definition to come...
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