Grace Diana Tice, PA-C | |
1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948-1018 | |
(941) 629-6262 | |
Not Available |
Full Name | Grace Diana Tice |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 1641 Tamiami Trl Ste 1, Port Charlotte, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104541937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA9116492 (Florida) | Primary |
Mailing Address | Practice Location Address |
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Grace Diana Tice, PA-C 1235 Augusta St E, Lehigh Acres, FL 33974-0728 Ph: () - | Grace Diana Tice, PA-C 1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948-1018 Ph: (941) 629-6262 |
Travis Neagle, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21297 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 855-979-5700 Fax: 855-979-5701 | |
Iris Jeanne Swiderski, DHSC, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-629-1181 | |
Mr. Brian R Webster, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 530 Tamiami Trail, Port Charlotte, FL 33953 Phone: 941-391-5296 Fax: 941-391-5297 | |
Sara Elizabeth Wainwright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21297 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 855-979-5700 | |
Danielle Steffen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3611 Tamiami Trl Ste B, Port Charlotte, FL 33952 Phone: 941-235-0542 Fax: 941-235-0545 | |
Richard E Jackson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21260 Olean Blvd Ste 200, Port Charlotte, FL 33952 Phone: 941-625-4270 Fax: 941-625-1751 |