| Kyle Harris, PA-C | |
|
501 6th Ave S, Saint Petersburg, FL 33701-4634 | |
| (727) 898-7451 | |
| Not Available |
| Full Name | Kyle Harris |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 501 6th Ave S, Saint Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821639451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9112709 (Florida) | Primary |
| Entity Name | Gastro MD Florida, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821167230 PECOS PAC ID: 2264432558 Enrollment ID: O20070111000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Harris, PA-C 601 5th St S, St Petersburg, FL 33701-4804 Ph: (727) 898-7451 | Kyle Harris, PA-C 501 6th Ave S, Saint Petersburg, FL 33701-4634 Ph: (727) 898-7451 |
Ryan G Ross, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 625 6th Ave S Ste 450, Saint Petersburg, FL 33701 Phone: 727-898-2663 Fax: 727-568-6836 |
Fallon Lanham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 5th St S Ste 302, Saint Petersburg, FL 33701 Phone: 813-505-2377 Fax: 813-200-3491 |
Sherill Albert, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2345 14th St N, Saint Petersburg, FL 33704 Phone: 727-954-0295 |
Shreya Patel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7330 4th St N, Saint Petersburg, FL 33702 Phone: 727-251-8465 |
Ms. Jamie King, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 6th Ave S, Saint Petersburg, FL 33701 Phone: 727-767-8480 Fax: 727-767-8420 |
Marisa Benedict, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Tyrone Blvd N, Saint Petersburg, FL 33710 Phone: 727-605-5591 |
Brianna Taylor Nikodem, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5398 Park St N, Saint Petersburg, FL 33709 Phone: 727-544-1441 |