| Ms Gwendolyn Bruch Michaelman, PA | |
| 
					3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307  | |
| (813) 870-4000 | |
| Not Available | 
| Full Name | Ms Gwendolyn Bruch Michaelman | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant - Medical | 
| Location | 3001 W Dr Martin Luther King Jr Blvd, Tampa, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619094174 | NPI | - | NPPES | 
| 292912100 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | Q62542 (Connecticut) | Secondary | 
| 363AM0700X | Physician Assistant - Medical | PA9104166 (Florida) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Gwendolyn Bruch Michaelman, PA 2727 W Dr Martin Luther King Jr Blvd, Suite Number 300, Tampa, FL 33607-6383 Ph: (813) 874-5707  | Ms Gwendolyn Bruch Michaelman, PA 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 Ph: (813) 870-4000  | 
Sara Elizabeth Udani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10150 Highland Manor Dr Ste 205, Tampa, FL 33610 Phone: 813-259-1013 Fax: 813-254-0396  | |
Randi Marie Bustin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1502 E Fowler Ave, Tampa, FL 33612 Phone: 813-866-0950 Fax: 813-866-0929  | |
Mrs. Jennifer Rose Baker Koebert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4001 E Fletcher Ave Fl 6, Tampa, FL 33613 Phone: 813-396-0768  | |
Tracie L Patel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10740 Palm River Rd Ste 360, Tampa, FL 33619 Phone: 813-844-7585 Fax: 813-844-5877  | |
Mr. Anthony Bromagen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12880 Commodity Pl, Tampa, FL 33626 Phone: 813-343-5500 Fax: 813-343-5506  | |
Lauren N. Yates, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16646 North Dale Mabry Highway, Tampa, FL 33618 Phone: 813-908-5253 Fax: 813-355-5895  | |
Mr. Eddy Jose Lopez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4507 N Armenia Ave, Tampa, FL 33603 Phone: 813-876-4100 Fax: 813-876-4153  |